820.198D, v1.3, 06.08.2015

g.tec medical engineering GmbH
Sierningstrasse 14, 4521Schiedlberg
Austria - Europe FAX: (+43) 725122240-39

Request for RMA Number

Please complete this form and send it or via fax.

The support team will email you an RMA number to return the items to g.tec.

  1. Pack your system well to provide any damage
  2. Clearly write your RMA number on the outside of the package
  3. Send the shipment including the RMA number attached outside the package to the following address:
    g.tec medical engineering gmbh
    Att.: RMA Team
    Herbersteinstrasse 60
    8020 Graz
    AUSTRIA
    , +43316 675106
  4. Please include all necessary parts in your shipment. For amplifiers include the power supply and USB cable, as well as headboxes.
  5. Any service must be approved by g.tec, according to g.tec’s warranty policy

Your contact details and shipping information (return address, etc.):

Company/Institute / Click here to enter text. /
Department / Click here to enter text. /
Name / Click here to enter text. /
Street / Click here to enter text. /
ZIP code, City / Click here to enter text. /
Country / Click here to enter text. /
Phone No / Click here to enter text. /
Fax No / Click here to enter text. /
Email / Click here to enter text. /
Preferred method of shipping / Click here to enter text. /

Product and purchase information:

Note all the defective parts with invoice, delivery note or acknowledgement number.

Invoice- / Delivery No: / Click here to enter text. /
Type of product: / Click here to enter text. /
Serial No.: / Click here to enter text. /
Purchase date: / Click here to enter text. /
Present value/Zeitwert of your product(s): / Click here to enter text. /

Reason for return:

Check applicable item:

recurrent safety check:
back for repair:
evaluation return:
wrong shipment:

Description of failure:

Serial Number: / Failure Description:
Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. /

Repair costs

By returning products to g.tec under this RMA, you agree to have g.tec investigate and repair the product for repair costs up to EUR ______
If the repair costs could exceed this limit, g.tec will ask for your approval before proceeding with the repair. The above only applies to repairs that are not covered by g.tec warranty. All prices are excl. VAT, ex works.

______

Name, Signature

Send a quote for any repair costs (will delay RMA processing)

Important notes:

  • Please tell us a street address. Logistics services may not deliver to a P.O. box
  • If the parcel is damaged or the RMA number is missing, g.tec is unable to accept the parcel. It will be sent back via the carrier to the return address at the expense of the sender.
  • Please indicate the preferred method of shipping (courier, regular mail, express,…). For repairs that are covered by warranty g.tec carries the shipping costs for standard delivery
  • Please provide the reason for returning the equipment. Provide as much information as possible (if possible measurement reports or data)
  • You are responsible for shipping your RMA to us. Please pack your system well to prevent
    any damage during transportation. Packaging guidelines:
  • We recommend using a carrier that provides a tracking number for your parcel (e.g. FedEx, UPS, or DHL). We also recommend that you insure the package.
  • g.tec is not liable for general, consequential, incidental or special damages. g.tec is not liable for lost data, the cost of recovering lost data, lost profits, installation or removal of replacement products, and any inspection, testing, or redesign resulting from any repair or replacement of products arising from any actual or alleged product defects. g.tec is not liable for any delays, damages or losses during shipping, nor any associated costs.

g.tec medical engineering GmbH, Sierningstrasse 14, 4521 Schiedlberg, Austria, Europe
Tel.: +43 7251 22240, Fax: +43 7251 22240-39, , Commercial register no.: 249844v, Place of venue: Steyr,
VAT: ATU58083139, Bank details: „SPARKASSE NEUHOFEN BANK“, 4501 Neuhofen – Austria, Bank code: 20326
Account: 0000-021196 c/o g.tec medical engineering GmbH, IBAN: AT492032600000021196, BIC/SWIFT: SPNKAT21