RMA FORM

Please fill out this RMA form and one of our engineers will email you an RMA number for your return.

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Customer Name:

Contact Name:

Email

Please select item(s) for return

Handpiece
Optical Fiber
Beam Delivery System (BDS) Assembly (Handpiece with Optical Fiber)
Pump Chamber Alexandrite
Pump Chamber Nd:YAG
Other miscellaneous items to return (lamps, boards, optics, mechanical parts…)

Describe in detail the issue with each item noted above (include laser serial number and time in use before failure):

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