MAN_1000-2000 IS_PN 3600647-EU_B_2002-01_EN

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Return Material Authorization (RMA) RMA Number

For an RMA number, contact the Micro Motion Customer Service Department: +31 (0) 318 549 443

User information

Return shipping information

Customer name

Name

Customer address

Address

Customer contact

City

Fax number

Country

Phone number Purchase order number

Requested return date

Returning instrument information Sensor model

Transmitter model

Sensor serial number Sales order number

Transmitter serial number Sales order number

Flange type

Power supply

Tag number

Tag number

Process conditions

Order information

Medium

Date of delivery

Chemical formula

Date of installation

Max. temperature

Date of failure

Max. pressure

Reason of return Warranty (Yes or No)

Calibration data mA output 1

mA output 2

Frequency output

Units of measure =

Units of measure =

4 mA =

flow rate =

20 mA =

Frequency =

Reason for return / description of failure (in detail)

Receiving date received by Authorized by


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