ITT Enidine industrial Products and Services

Please submit the RMA Request form below to begin the RMA process
for Compact, Turn-Act, Conoflow and NGV (Compressed Natural Gas Products) Only
If you have previously submitted an RMA request, please Click Here to view its status
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  * Indicates Required Field
Company Name: *
Are you a Distributor? Yes No
Address: *
City: *
State/Province: *
Country: *
Zip: *

Name: *
Telephone: *
Fax:
Email Address: *
Return Options:

Evaluation or Restock – parts will not be returned to customer

Return repaired or replaced parts to the same address as above

Return repaired or replacement parts to a different address:

 
Ship To Address:
   

Item Part Number/Model Number: *

Add Part Numbers: Yes No
 
Addtional Part Number:
Addtional Part Number:
Addtional Part Number:
Addtional Part Number:
Item Description: *
Quantity: *
Item Lot Number/Serial Number:
Product Manufacture Date: (Format MM/DD/YYYY)
Compact Product Type: *
Purchased Product From Distributor: Yes No *
 
Distributor Name:

Sales Order Number (If Known):
Original Purchase Order:
Customer Evaluation/Repair PO:
*Items received with a customer assigned evaluation/repair
Purchase Order will receive expedited processing.
Problem Description/Reason for Return: *
Distributor Reason for Return
Additional Details/Comments:

  Terms and Conditions - I have read and agree to these terms and conditions:
 

Please Enter Verification Text: