Thermo Fisher Scientific
Service Repair and Replacement Parts 3
REC 4283 Rev B
Forei
n Customer Re
air Authorization
501 90
th
Avenue NW Minneapolis, MN 55433
(763) 783-2500 Fax (763) 780-1537
Please complete the
ollowing regarding equipment that will be returned for repair
Contact Name: Telephone 011-
(country code) (telephone number)
Company Name:
Fax011- - E-mail
(countr
code) (fax number)
Billing Address:
Purchase Order No.(required):
Equipment Type: Serial No.
Description of problem:
Shipping Method (Please check one option):
Thermo Scientific
sends good direct to customer.
Thermo Scientific
determines shipping method and carrier. Charges will be prepaid by
Thermo Scientific
and customer will be invoiced for charges. Truck and/or air freight will always be utilized unless customer arranges shipment
Thermo Scientific
sends goods to customer’s designated freight forwarder. Charges for inland freight to U.S. port will be
prepaid by
Thermo Scientific
and customer will be invoiced for charges.
Freight forwarder?
Yes No
Shipping Address:
Atn: Telephone
Copies of shipping documents should be sent to the following individual via e-mail or fax. Originals will be sent to the billing
address above via regular mail
Contact Name:
Fax 011- - E-mail:
(countr
code) (tele
hone number)
Important Notice:
Shipment requests will be processed according to this document, which must be fully completed prior to issuance of a Return Material
Authorization (RMA) number. Shipping documents will be sent as requested to the individual above upon shipment of goods from
Thermo
Scientific
’s plant in Minneapolis, MN. Thereafter,
Thermo Scientific
bears no responsibility for charges associated with customs clearance or
warehouse charges due to customer failure to liberate goods from customs.
This completed form should be faxed to: Attn: Customer Service fax (763) 780-1537
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