Graham Corporation
33
Appendix B
(Note: This form not to scale)
Graham Corporation, 20 Florence Ave., Batavia, New York 14020
Tel: (585) 343-2216 FAX: (585) 345-1370 E-MAIL: equipment@graham-mfg.com
RETURN MATERIAL AUTHORIZATION FORM
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - -
(This section completed by authorized Graham personnel only. Use Tab Key or Cursor to complete areas.)
TO: Date:
(Customer’s Name & Company Name)
FROM: Fax No.:
(Originator -- Auth. Graham Personnel)
E-Mail:
RMA Number:
RMA Number Assigned by Authorized
(current date, auth. Graham personnel
initials,01, 02, etc. as applies for that date)
Graham Batavia Personnel Only
S A M P L E
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Sections A, B, & C to be completed by the customer and RETURNED VIA FAX to the Graham Service
Department. For E-mailed form, use Tab Key or Cursor to complete areas. An additional copy must also
be included with the returned equipment. No work will be started on the equipment being returned until
the Service Department has the completed form.
MSDS (Material Safety Data Sheet) must be included for all material(s) handled by the equipment. Work on
the equipment will not begin until MSDS sheets are received. This is to ensure the safety of all Graham
employees who may come in contact with this equipment.
The equipment must be cleaned, drained and DECONTAMINATED prior to shipping back to Graham.
Equipment returned in an unsatisfactory condition will be returned to the sender.
A. Customer Data
Customer: Contact Person:
Mailing Address: Phone Number:
Fax Number:
E-Mail:
B. Graham Equipment Information
Graham Serial No.:
ASME Unit?: NO YES - Engineering Procedure EP-006 applies
Type of Equipment / Model No:
Material Handled by Equipment:
Reason for Return:
C. Authorized Customer Signature
Send equipment, RMA form and MSDS sheets to the address shown above, Attn: Service Dept.
Graham Corporation is not responsible for any freight charges.
(Units must be returned with freight prepaid or they will not be accepted.)
CC: Project Engineering Secretary – For Distribution
Prod. Control, QA, QC, Originator, Credit
To Previous Page
Loading...
Need help?
General