RMA On-line Request

Prior to returning any products to Divebiss for repair, each product must be issued an RMA number. To request an RMA, you must either download and complete the RMA request form or complete this on-line form to receive your RMA number.

Please complete the following form to request a Returned Material Authorization number to return a product for repair.

Company & Contact Information
Company Name:    
Phone #:    
Fax #:    
Technical Contact: E-mail:
Purchasing Contact: E-mail:
Purchasing Information
If you have open credit, please provide Purchase Order number. Otherwise, you will need to provide a billing method when you are given the RMA number. We accept VISA Mastercard and American Express. COD or pre-payment may also be used.
Purchase Order #:    
Bill to Address
Street:
City:
State:
Zipcode:
Ship to Address
Street:
City:
State:
Zipcode:
Product Information
Model #:
Serial Number:
Description of Problem:
Additional Comments
 
  By submitting this form, I agree I have read and understand the Divelbiss RMA Policy and agree to it's conditions. I hereby state that I have the authority and do authorize Divelbiss Corporation to bill the provided method for the product repair upon repair completion.