sales@lafayetteinstrument.com
(765) 423-1505

PRODUCT RETURN FORM

We will provide you with a return number after this form has been received. You may enter multiple serial numbers in the serial number textbox.

Note: Return numbers are required and shipments without them may be refused.

PRODUCT INFORMATION

Model*

Serial Number(s)

Comments*

Select the sales person familiar with your return*

BILLING ADDRESS

The following contact information is required for an ESTIMATE and for BILLING. Payment arrangements will need to be made prior to the completion of any repair or trade in. You will be able to submit payment by credit card or purchase order.

Name*

Organization*

Phone Number*

Fax Number

Email Address*

Address (line 1)*

Address (line 2)

City*

State / Province*

Zip / Postal Code*

Country*

SHIPPING ADDRESS

The following is the contact information for SHIPPING.

SAME AS BILLING ADDRESS

Name*

Organization*

Phone Number*

Fax Number

Email Address*

Address (line 1)*

Address (line 2)

City*

State / Province*

Zip / Postal Code*

Country*

RETURN TERMS AND CONDITIONS

There will be a standard bench fee of $85.00 on anything not covered by a warranty; additional charges may apply. Customer will be responsible for any import duties and taxes assessed by customs. Customer must return defective item(s) within 30 days of receipt of replacement item(s), unless otherwise notified in writing. If defective item(s) is not received within this time frame the customer will be invoiced for the replacement item(s) including shipping.

I have read and agree to the above terms and conditions.

Leave this Textbox Blank

* Required Field

RETURNS

Once you receive your Return number, please include it on the package address label.

Example:
Lafayette Instrument Company
RMA# XXXX
3700 Sagamore Parkway North
Lafayette, IN 47904

For updates on returns, contact Lafayette Instrument Company Customer Service
Phone: (765) 423-1505
service@lafayetteinstrument.com

Lafayette Instrument Company is committed to protecting your privacy. This is because our business is based on the trust you place in us. The personal information that you provide will only be used by Lafayette and its representatives. For more information about our personal data handling, view our Privacy Policy. If you have any concerns, comments, or complaints, be sure to contact us.

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CONTACT US

Lafayette Instrument Company
3700 Sagamore Pkwy N
Lafayette, IN 47904

Phone: (765) 423-1505
Fax: (765) 423-4111
info@lafayetteinstrument.com

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CONTACT US

Lafayette Instrument Company
3700 Sagamore Pkwy N
Lafayette, IN 47904

Phone: (765) 423-1505
Fax: (765) 423-4111

info@lafayetteinstrument.com