RMA Request

RMA Instructions:

1. Please complete the entire form and include a copy of this form with your part.
2. Please package your repair item as safely as possible.
PAI is not responsible for shipping damages.
3. Once you submit this request, your RMA# will appear on the confirmation page.
Please write the RMA# on the outside of your package.

Contact Information

* Company Name:

* Contact:

* Phone Number:

* Email Address:

Shipping Information

* Company Name:

Attention:

* Address:

* City:

* State:

* ZIP Code:

* Return Shipping Method:

* Expedite Repair:

Item Information

* Item for Repair:

Serial Number(s):

Quantity:

Item for Repair:

Serial Number(s):

Quantity:

* Problem Description

Payment Information

Payment Method:

Net Terms

Purchase Order:

If you do not have a credit line with PAI, we will contact you to obtain your Credit Card information prior to returning the repaired part.

We accept all major credit cards.

Credit Card

Please ship all repair items to:

PAI-ASG
Attn: Repair Dept.
200 Briarwood West Dr.
Jackson, MS 39206

* Indicates Response Required