Return Merchandise Authorization

[[[["field50","equal_to","Other"]],[["show_fields","field17,field18,field19"]],"and"],[[["field63","equal_to","Yes"]],[["show_fields","field8"]],"and"],[[["field66","contains","1"]],[["show_fields","field65,field13"]],"and"],[[["field66","contains","2"]],[["show_fields","field65,field13"]],"and"],[[["field50","equal_to","s2"]],[["show_fields","field26"]],"and"],[[["field50","equal_to","u1"]],[["show_fields","field64"]],"and"],[[["field50","equal_to","Crane Scale"],["field50","equal_to","Dynamometer"]],[["show_fields","field23"]],"and"],[[["field68","contains","Lab Calibration"]],[["show_fields","field50"]],"and"],[[["field68","contains","On-Site Field Calibration"]],[["show_fields","field67"]],"and"]]
1 Contact Info
2 Product Info
Please fill out all required fields and continue
Company Name
Company Address
City
State
First Name
Last Name
Contact Phone Number
Ext
Do you have a purchase order number?
Purchase Order
Please provide your preferred return shipping method
Shipping options
Shipping Account Number
Pick One
All weighing scales must be calibrated with the supplied clevises
Specify Other
Unit Under Test Manufacturer
System Under Test Manufacturer
Model
Serial Number
Capacity
Quantity
Direction
Calibration CycleNote: United Recommends a 12 month cycle
Additional Commentsmore details (optional)
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