RMA Request Form

Customer data

Divergent Billing Address

If you specify an E-Mail address, the invoice will be sent out by E-Mail only.

Divergent Shipping Address

Contract details (please mark as appropriate)

Please select*
Offer required*
Rental equipment during repair*
Defective components / articles*


For return shipment up to five articles.

Position 1

Position 2

Position 3

Position 4

Position 5


Select file...


Please complete the form and submit your information. Areas marked with an asterisk (*) must be filled out. Please print out the form twice and attach one copy to the return shipment. The confirmation e-mail for sending the following RMA-form will be received by the contact person (commercial).