Fluid Components International FLT93 Nuclear - Manual (Page 55)

FLT ® Series FlexSwitch TM APPENDIX D - CUSTOMER SERVICE
Fluid Components International LLC 55
1. Return Customer Information
Returning Company’s Name: _____________________________ Phone# __________________________________
Return Contact Name: __________________________________ Fax # ____________________________________
Email Address: ________________________________________________________________________________
2. Return Address
Bill To: _______________________________________ Ship To: _______________________________________
____________________________________________ ______________________________________________
____________________________________________ ______________________________________________
____________________________________________ ______________________________________________
3. Mandatory End User Information
C ontact: ______________________ Company: _____________________________ Country: ________________
4. Return Product Information
Model No: ____________________________________ Serial No(s): ____________________________________
Failure Symptoms (Detailed Description Required) : ____________________________________________________
____________________________________________________________________________________________
What Trouble Shooting Was Done Via Phone or Field Visit by FCI: _________________________________________
____________________________________________________________________________________________
FCI Factory Technical Service Contact: _____________________________________________________________
5. Reason For Return Sensor Element Electronics As Found Testing Credit
Recalibrate (New Data) Recalibrate (Most Recent Data) Other
(Note: A new Application Data Sheet (ADS) must be submitted for all recalibrations and re-certifi cations)
6. Payment Via Faxed Purchase Order
(Note: A priced quotation is provided for all Non-Warranty repairs after equipment has been evaluated. All Non-Warranty repairs
are subject to a minimum evaluation charge of $250.00)
Factory Return Shipping Address: Fluid Components International LLC
1755 La Costa Meadows Drive
San Marcos, CA 92078-5115
Attn: Repair Department
RA #____________
RA #______________
1755 La Costa Meadows Drive, San Marcos, CA 92078-5115 USA
760-744-6950 / 800-854-1993 / Fax: 760-736-6250
Web Site: www.fluidcomponents.com
E-mail: techsupport@fl uidcomponents.com
Return Authorization Request