Returns, Refunds and Exchanges

This form is for customers located in the USA, Canada and Puerto Rico.

If your WPI equipment malfunctions or breaks, WPI will repair or replace your product depending upon its warranty. See Terms and Conditions for additional information. **Please do not return any product without first obtaining a Return Material Authorization (RMA) by filling out the form below.

Products under warranty will be repaired or replaced at no cost to you.

Fields marked with an asterisk (*) are required.

Your Contact Information

Title

First Name

Last Name

Position

Institution

Department

Phone

Fax

Shipping Address for Repaired/Returned Product

Address

Address2

City

State (for customers in the USA or PR)

Province (for customers in Canada)

Zip/Postal Code

Country

Billing Information for Repaired/Returned Product

Billing Address

Billing Address2

Billing City

Billing State (for customers in the USA or PR)

Billing Province (for customers in Canada)

Billing Zip/Postal Code

Billing Country

Order Information - please provide one of the numbers below

Invoice Number

Packing Slip Number

Sales Order Number

Purchase Order

Item 1

Serial Number

Part Number

Qty

Under Warranty

Issue

Item 2

Serial Number

Part Number

Qty

Under Warranty

Issue

Item 3

Serial Number

Part Number

Qty

Under Warranty

Issue

Decontamination Check

We will not accept delivery of any equipment that contains or is contaminated with hazardous substances. Please make sure all items are properly cleaned and decontaminated prior to returning to our facility.

Decontaminating your equipment can be done by the following methods:

Gas Sterilization (Ethylene Oxide)
Irradiation
Disinfectant wipe down (i.e. 10% Bleach Solution)
Scintillation count (For radioactive applications. Please include isotope data.)

Please mark the following check boxes to confirm that your return is safe to handle.

HazardousMaterial

The returned product is not radioactive.

The returned product is not biologically active

The returned product is not dangerous to human health and safety.

NOTE: Not checking the boxes may cause that an RMA number assignment not to be issued