Service Request Form


Please fill out this form completly or print and fill out a printable fax version so that we can give you an RMA number to send in with your unit.

* = Required Fields

C O N T A C T    I N F O R M A T I O N

*First Name:

*Last:

CustID:

*Organization

*Phone:

Fax: *Email:

*Shipping Address:

 

*City:

State:

*Zip: *Country:

Use same address for shipping and invoicing

Invoicing Address:

 

City:

State:

Zip: Country:


P R O D U C T    I N F O R M A T I O N

*Unit Model:

*Serial Number:

*Problem:

 

 

Unit Model:

Serial Number:

Problem:

 

 

Unit Model:

Serial Number:

Problem:

 

 

Unit Model:

Serial Number:

Problem:

*Amount Authorized for Repair: .00

Purchase Order #(if applicable):

Credit Card: Expiration:

Name as it appears on Card:

 

 


CMT will contact you within 24 hours to give you pricing information and a RMA number that you can attach to your units and then ship to us.

Note: All shipping charges, duties, and taxes for the RMA are the customer's responibility.

Caution: Make sure you completly fill out the form before you proceed, or you might have to start over!


 

 

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