RMA Form

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Important RMA Procedures

Call or email for an RMA number
Please complete this RMA Form or use the form below.
Fax the completed form to 541-461-4018
Please write the RMA number of the outside of your shipping box. Unless otherwise advised please return both stage and controller, preferably in original packaging.
Please provide as much detail as possible about the nature of the problem, including the circumstances under which the failure has occurred.

Call (541) 461-8181 or email (info@asiimaging.com) for an RMA number.

RMA#*
Date*
Bill To:
Company*
Address*

Street Address
City
State / Province / Region
Zip / Postal Code

Country
Contact Person*

First
Last
Phone*
Email*
Ship To:
Company*
Address*

Street Address
City
State / Province / Region
Zip / Postal Code

Country
Contact Person*

First
Last
Phone*
Email*
Description of item & problem
Please provide as much detail as possible about the nature of the problem, including the circumstances under which the failure has occurred. *
Comments

This field is for validation purposes and should be left unchanged.

DPG Berlin - March 25-30, 2012, Berlin, Germany (OptoPhase)

SPIE Photonics Europe - April 16-19, 2012, Brussels, Belgium (Optophase)

Analytica - April 17-20, 2012, Munich, Germany (Optophase)

Experimental Biology 2012 - Booth #830 - April 22 - 24, 2012, San Diego, CA

EMRS 2012 Spring Meeting - May 15-17, 2012, Strasbourg, France (Optophase)

FENS 2012 - July 14-18, 2012, Barcelona, Spain (Optophase)

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