to returning items to IPAC solutions for repair, please complete this form & return it with the item for repair. Without an RMA, we are not able to identify your equipment and authorize repair or replacement. Customer Information Company Name: Contact person: Tel: ( ) Email: Item For Repair Manufacturer: Model: Item Description Serial No. Included accessories/cables etc: Description of Fault: Warranty Information Yes No This is a Warranty Claim □ □ Original Purchase Order PO: Purchase date : Date: A MINIMUM INSPECTION FEE OF $149.00 WILL SHOULD CUSTOMER DECIDE NOT TO PROCEED The repair / service to the unit cannot be started until this section is completed and signed off. I being an appropriate technical officer of my organisation, certify that the enclosed article/s is free of any hazardous Decontamination Declaration materials, chemical or biological residue. I understand this article will be handled in an unprotected manner once leaving my care. Signature: Date: Company: Address: Please send the repaired/replaced item back to this address: Suburb: State & P/code: For the attention of person: Tel: ( ) Email: The Service Department in your may be contacted via these details: Head office Victoria Brisbane Western Australia New South Wales Unit 42 / 9 Hoyle Ave Factory 14 / 64-86 Beresford Rd Unit 4b / 10 Valente Close 10 Woolwich Castle Hill NSW 2154 Lilydale VIC 3140 Chermside QLD 4032 Kallaroo WA 6025 Tel: 1300 883 690 Tel: 1300 883 690 Tel: 1300 883 690 Tel: 1300 883 690 Fax: (02) 8825 6299 Fax: (03) 9735 8899 Fax: (07) 3256 4199 Fax: (03) 9735 8899 E: E: E: E: service @ipacsolutions.com.au service @ipacsolutions.com.au service @ipacsolutions.com.au service @ipacsolutions.com.au
to returning items to IPAC solutions for repair, please complete this form & return it with the item for repair. Without an RMA, we are not able to identify your equipment and authorize repair or replacement. Customer Information Company Name: Contact person: Tel: ( ) Email: Item For Repair Item Description Manufacturer: Model: Serial No. Included accessories/cables etc: Description of Fault: Warranty Information This is a Warranty Claim Yes □ No □ Original Purchase Order PO: Purchase date : Date: A MINIMUM INSPECTION FEE OF $149.00 WILL SHOULD CUSTOMER DECIDE NOT TO PROCEED The repair / service to the unit cannot be started until this section is completed and signed off. Decontamination Declaration I being an appropriate technical officer of my organisation, certify that the enclosed article/s is free of any hazardous materials, chemical or biological residue. I understand this article will be handled in an unprotected manner once leaving my care. Signature: Date: Please send the repaired/replaced item back to this address: Company: Address: Suburb: State & P/code: For the attention of person: Tel: ( ) Email: The Service Department in your may be contacted via these details: Head office New South Wales Victoria Brisbane Western Australia Unit 42 / 9 Hoyle Ave Castle Hill NSW 2154 Tel: 1300 883 690 Fax: (02) 8825 6299 E: service @ipacsolutions.com.au Factory 14 / 64-86 Beresford Rd Lilydale VIC 3140 Tel: 1300 883 690 Fax: (03) 9735 8899 E: service @ipacsolutions.com.au Unit 4b / 10 Valente Close Chermside QLD 4032 Tel: 1300 883 690 Fax: (07) 3256 4199 E: service @ipacsolutions.com.au 10 Woolwich Kallaroo WA 6025 Tel: 1300 883 690 Fax: (03) 9735 8899 E: service @ipacsolutions.com.au
ipac_return_materials_authorisation.docx