Return Material Authorization

Customer Information

Please fill in your contact information below.

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Customer Code

Company Name (required)

First Name (required)

Last Name (required)

Contact Email (required)

Contact Phone Number (required)

Customer Bill-To Address

City

State / Territory / Province

ZIP Code

Country

Customer Ship-To Address (required)

Ship-To Address Same as Bill-To

City (required)

State / Territory / Province

ZIP Code (required)

Country (required)

Anticipated Ship Date (required)

Shipping Method (required)

Shipping Account

Failed Unit Information

Please fill in the failed unit information below.

Serial Number (required)

Part Number (required)

Removal Description (required)

Reason for Removal (required)

Flight Hours (required) YesNo

Expedite (required)

Purchase Order Information

Please fill in the purchase order information below.

Purchase Order Number (required)

Upload Purchase Order

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