Service Request Form - Lake Shore Cryotronics, Inc.

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Request For Service

All requests to return product to Lake Shore for repair or calibration service will require a Return Material Authorization (RMA). Once the information requested below has been processed, you will receive an email containing the appropriate RMA documents with detailed instructions for shipping and payment.

Please call us directly or submit the form below:

Service Manager

Jeff Maynard

Tel: (614)891-2243 × 131

Fax: (614)818-1609

email: service@lakeshore.com

All fields marked with (*) are required fields

Service Required:

Provide quote only

Return product for calibration

Standard Calibration (Certificate only)

Pre & Post Calibration Data Reports Required

Return product for repair (Problem description required)

Intermittent problem - Explain in description

Provide information per description of problem

Description of problem (please be specific):

Product:

Serial number:

(Required for all Return Request)

Shipping Information	Billing Information

First Name:	*
Last Name:	*
Company Name:	*
Address 1:	*
Address 2:	*
City:	*
State:	*
Zip:	*
Country:	*

Phone:	*
Fax:
Email:	*

Same as shipping information

Unknown or credit card order

First Name:
Last Name:
Company Name:
Address 1:
Address 2:
City:
State:
Zip:
Country:

Phone:
Fax:
Email:

Contact for technical questions:

Same as shipping information
First Name:
Last Name:
Company Name:
Phone:	Ext:
E-Mail:

Addition information/requirements:

If you have any questions for requirements for return of a product, please e-mail:service@lakeshore.com

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