Cylinder/SF
6
Return Material Authorization Form
RMA FORM FOR GAS CYLINDERS - dilo.com
RMA FORM FOR GAS CYLINDERS
Cylinder/SF6 Return Material Authorization Form
Please fill out all applicable areas on this form. Missing information may result in delayed processing. Upon completion and approval, an RMA form will be issued. Do not return gas/cylinders without obtaining a valid RMA number
NOTE: Expired cylinders cannot be refilled. Customer will be charged for new replacement cylinders unless a sufficient number of customer-provided non-expired cylinders are included with the initial shipment.
Company Name
*
Contact Name
*
Phone number
*
Email
*
Customer Return Address
Receiving Name
*
Receiving Phone Number
*
Receiving Email
*
Street
*
City
*
State/Province
*
Zip Code
*
Country
*
Preferred Carrier
UPS
FedEx
DHL
Pre-pay and Add
Will Call
Other
Other carrier
Collect Account Number
Billing Information
Preferred Payment Method (select one)
*
Credit Card
PO
Invoice
Other
PO Number (if PO)
Invoice to (if invoice)
Other payment method
Services
Choose all that apply
*
Disposal of SF6 or other gas
Empty cylinder(s) to be returned (disposal only)
SF6 Cleaning
Cylinder Recertification
Disposal of Cylinders
Disposal of GIE
SF6 Fill of customer provided cylinders
Returned Cylinder Information/Gas and Containment Disclosure
Number of cylinders
Number of pallets
Dimensions of pallet
Length
Height
Width
Weight
Estimated volume of gas shipped (lbs)
Purity % of gas (if known)
Moisture PPMv (if known)
SO2 PPMv (if known)
I acknowledge that I have read and agree to DILO’s Terms of Conditions (see link below):
*
Yes
Comments/Additional Info
Terms and Conditions