materials handling equipment, chain hoists, overhead cranes
KEY FACTORY CONTACTS FIELD SALES STAFF MANAGEMENT TEAM LITERATURE REQUEST PRICE BOOK REQUEST DIRECTIONS & MAP

WARRANTY REQUEST FORM:

FOR QUICK RESPONSE COMPLETE INFORMATION REQUESTED AND SUBMIT THIS E-FORM. YOU CAN ALSO PRINT FORM AND FAX TO: 937-525-3101 OR E-MAIL: RGA@rmhoist.com



 
Date:*
R&M Logo
 
Requested By:*
 
Company Name:*
 
Address 1:*
 
Address 2:
 
City:*
 
State/Province:*
 
ZIP/Postal Code:*
 
Country:*
 
Phone Number:*
 
Fax Number:*
 
E-mail Address:*
 
R&M Order Number:*
 
Customer P.O. Number:
 
Model No. / Serial No.:*
 
1. Quantity:*
Part Number:*
 Reason for Return Request (be specific):*
 
2. Quantity:
Part Number:
 Reason for Return Request (be specific):
 
3. Quantity:
Part Number:
 Reason for Return Request (be specific):
 
4. Quantity:
Part Number:
 Reason for Return Request (be specific):
 
5. Quantity:
Part Number:
 Reason for Return Request (be specific):
 
REPLACEMENT PARTS SHIPPING INFORMATION
  SHIP VIA (Choose One): Standard freight = paid by R&M   Expedited freight = paid by others  
 
  SHIP TO: ( IF DIFFERENT FROM PURCHASER )
Expedited Freight
Shipper Information

Fill in this information
if you have chosen Expedited freight
Company Name:
Address 1:
Address 2:
City:
State/Province:
ZIP/Postal Code:
Country:
Phone Number:
Fax Number:
E-mail Address:
   
      
 
Note:
  • Warranty freight paid by R&M will be UPS Ground or equivalent.
  • Expedited freight is the responsibility of others - please check the box that pertains to the shipping method -
    and if using your account number it can be written in the box.
  • All original items replaced under warranty MUST be returned unless otherwise stated on the warranty acknowledgment form.
  • A complete warranty policy information is available in the Owner's manual or at www.rmhoist.com.
  • Please include NCR# on outside of package to be returned.
  • SHIPPER IS RESPONSIBLE FOR RETURN PACKAGING.

 
* denotes required field
 

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R&M Materials Handling equipment, overhead cranes, electric chain hoists
R&M Materials Handling, Inc., 4501 Gateway Blvd., Springfield, OH 45502   |   Ph: 937-328-5100   |   Fax: 937-325-5319
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