Return Merchandise Authorization

Complete all required fields to submit your RMA request. An RMA number will be issued once your request has been reviewed.

Fields marked with an asterisk are required

Form Completion 0%

Contact Information

Your personal and company details

First Name * This field is required

Last Name * This field is required

Email Address * Please enter a valid email address

Telephone Number * This field is required

Company Name * This field is required

Product Details

Information about the product being returned

Reason for Return * Please select a reason

Your Reference Number * This field is required

Product Manufacturer * This field is required

Manufacturing Date * This field is required

Part Number / Description * This field is required

Customer's Internal P/N (optional)

Quantity * Please enter a valid quantity (min. 1)

Technical Specifications

All fields in this section are optional

Operating Voltage (V)

Current (A)

Torque (Nm)

Speed (RPM)

Modification Agreement

Authorization for product analysis and repair

By agreeing, you authorize L-Tech Lewenstein Technologies to perform the necessary analysis, repair, or modification on the returned product as required to process your RMA request. If you do not agree, a separate arrangement may be required before work can proceed.

I Agree — authorize L-Tech to proceed with modification and/or repair as needed I do not agree

Please indicate your agreement

RMA Request Submitted

Thank you. Your request has been received and is under review.
You will be notified at the email address provided once your RMA number is issued.

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