RMA Application Form

Company Name

Street Address

Suburb

State

Post Code

PO Number

_{If you are an account customer, we require a copy of your purchase order before we can despatch your unit. If a PO has not been raised yet, enter "TBA" above and forward us a copy of your PO when available.
If you are not an account customer, payment will be required before your unit can be despatched.}

Model (Please provide specific model number)

Please note that the selected model will be calibrated to ISO 17025 standards (NATA endorsed).

Calibration Type
—Please choose an option—TSIAs found

Please provide a vane range
Click here for an overview of the vane ranges
—Please choose an option—LOW RANGE 0.30 – 5m/sMIDDLE RANGE 0.30 – 15m/sFULL RANGE 0.30 – 29m/s

Due date sticker for next NATA calibration required?
—Please choose an option—YesNo

Make

Model
—Please choose an option—RVA501LCA5014000 Series Flowmeter5000 Series Flowmeter5725651075109303930693109350950095109550-02995Other

Serial Number

Reason for Return

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Add another unit

Make

Model
—Please choose an option—RVA501LCA5014000 Series Flowmeter5000 Series Flowmeter5725651075109303930693109350950095109550-02995Other

Serial Number

Reason for Return

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Add another unit

Make

Model
—Please choose an option—RVA501LCA5014000 Series Flowmeter5000 Series Flowmeter5725651075109303930693109350950095109550-02995Other

Serial Number

Reason for Return

---

Add another unit

Make

Model
—Please choose an option—RVA501LCA5014000 Series Flowmeter5000 Series Flowmeter5725651075109303930693109350950095109550-02995Other

Serial Number

Reason for Return

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Maximum number of units reached. If you have more units to add, please submit these on a new form.

Please provide details

Please provide details:

Please provide details:

Freight Company Name
-TNTUPSFEDEXDHLSTARTRACKCENTURION/MATICToll Energy and MarineToll Intermodal and SpecialisedToll IPECToll Priority (AUS)

Freight Company Account Number