Quest Technologies Return Authorization Request Form

To expedite your order, fill out each section as required. Instructions for emailing this form are included at the end of this document.

Payment Information Section:

Billing will not occur until work is completed and the product has been shipped.

Credit Card:	MasterCard
	Visa
	American Express

Card holder Name:		Ship To:
Phone Number:		Quest Technologies
Card#:		1060 Corporate Center Drive
Expiration Date:		Oconomowoc, Wi 53066

Purchase Order:	Yes
P.O.#:


Tax Exempt:	Yes No
Tax Exempt ID#:
	Note: Copy of Tax Exempt Certificate to be sent and kept on file at Quest Technologies.

Billing and Shipping Information Section:

Quest Customer #:		(If Available)

	Bill To:		Ship To:
			Select if same as "Bill To"
Company:		Company:
Attention:		Attention:
Street Address 1:		Street Address 1:
Street Address 2:		Street Address 2:
City:		City:
State:		State:
Zip:		Zip:
Country:		Country:
Email Address:		Email Address:
Phone #:		Phone #:
Fax #:		Fax #:

Shipping Method:

Select a shipping method from the choices provided below. Quest Technologies does not pay shipping charges.


UPS:	FedEx:	Other:
UPS Ground	FedEx Ground	Other Carrier
UPS 2nd Day Air	FedEx 2nd Day Air	Other Carrier Information:
UPS Next Day Air	FedEx Next Day Air

Payment Method
Prepay/Add
Freight Collect
Account Number:

Calibration/Service Required:

"ACCREDITED" Calibration Service Includes "As Received" and "Final Condition" data on calibration certificate. Complies with ISO 17025 and ANSI Z540 Who is Accredited Calibration important to? OSHA Local Community and Environmental Enforcement Agencies Police and Code Enforcement Agencies General Industry Nuclear Industry Automotive Industry Aerospace Industry Medical Industry Registered Associations Why is Accredited Calibration important? It provides validation of data if challenged during litigation It provides confidence in the technical competency of the lab calibration To find out more about the importance of an Accredited Calibration, visit the following two links: QCarePro Calibration Services.pdf Calibration White Paper June 2006.pdf Accredited Calibration includes the following: Firmware & Hardware Updates Acoustic, Sensor & Electronic Calibrations Record of Incoming “As Received” Data & “Final Condition” Data Accredited Calibration Certificate NIST Traceable Calibration Certificate Warranty Extension for 12 Additional Months on Currently Manufactured Products Peace of Mind That Your Service Has Been Performed Properly
Standard Calibration Includes the following: Firmware & Hardware Updates Acoustic, Sensor & Electronic Calibrations NIST Traceable Calibration Certificate Warranty Extension for 12 Additional Months on Currently Manufactured Products Peace of Mind That Your Service Has Been Performed Properly
Other
Define Other:

Please define future desired Calibration Interval:
Define Interval:

Rush (Additional Fee will Apply)

Equipment Section:

Enter all equipment that will be included with this RA number. Under "Reason for Return", enter a detailed description.
Note: Multiple Serial Numbers can be entered for a single model number.

Model Number	Serial Number	Reason for Return

Additional Comments:

If necessary, you will be contacted after a technician has evaluated your equipment, and informed if there are additional charges for microphones or sensors. If the repairs are covered under warranty, you will not be charged. If you choose not to replace additional component, you will be responsible for previously agreed upon charges and shipping fees.

Press the Submit Button below to email the data in this form to Quest Technologies.
A Quest representative will contact you with an RMA number, pricing, etc. regarding your order.