Service Pricing & RMA Request Form

Company *

Title

First Name *

Last Name *

Email *

Phone *

Preferred Method of contact

Preferred Method of Shipment *

If Collect, Please provide Account #

Please Select Product Brand *

Select total number of items being returned

Item #1

Model Number *

Serial Number *

Certification Type

Please select the reason for return *

Display Bird Recommended Calibration Due Date *

Affix Cal Label to Unit*

Service List Price

Factory Quote Required

Notes:

Billing Address

Bill to Company Name

Bill to Address 1 *

Bill to Address 2

Bill to Address 3

Bill to City *

Bill to State *

Bill to Zip Code *

Bill to Country *

Shipping Information

Same as Billing Address

Ship to Company Name

Ship to Address 1 *

Ship to Address 2

Ship to Address 3

Ship to City *

Ship to State *

Ship to Zip Code *

Ship to Country *

Comments or Questions

Please enter your comments

Domestic Return Shipments

When sending by courier ship direct to:
Bird Service Center, 30303 Aurora Road - Solon, Ohio 44139
For smaller shipments:
Send returns through UPS — United Parcel Service directly to the Bird Service Center.

International Return Shipments [Customs Broker]

All invoices should state "US GOODS RETURNED" and include a Value for Customs. We recommend that you use the service value quoted on this form as the value for customs.

If being returned for repair or calibration, please state: "US GOODS BEING RETURNED FOR REPAIR AND/OR CALIBRATION".

Contact your local Nippon Express Office for shipment

Note: HTS Code for Calibration and Repair Services is : 9801.00.10. Please add to your commercial invoice.