NOTE - ClockWork at this time is only accepting *COD, CREDIT CARD or CHECK. Once we receive the Equipment and it has been serviced / estimated you will be Phoned / Fax'ed / Email'ed your Estimate. (** We are Holding a 2 to 3 Day in House Turn Around **) **** There is a $110.00 + S/H on All Refused Estimates & this fee is waived if Estimate is Approved & work is completed. **** Estimates older than 60-Days From Date Submitted Back To Owner) without any response ~~ Will be Scrapped !! ****

PO #'s
are as stated on the RMA Form:" Purchase Order Numbers are for your reference Only and not for payment Terms. "

*COD
will add $11.50 to amount !!


PLEASE CONTACT FOR QUESTIONS:
ClockWork Innovative Solutions, Inc.
(423) 648-5501  Fax: 423-855-0710

E-Mail: clockwork@chattanoogaservice.com

** Fill-In Form Below & Click PROCESS Button @ Bottom **
RMA# {This Not Official RMA# Until Form Button Pressed}


Tennessee Tax on Repairs Guidelines - PDF Document
 

Bill To Address

  Ship To Address
Check to use Billing Information:
Company Name (required)
Company Name (required)
Address (required)
Address (required)
  City (required)
  City (required)
State (required)
State (required)
Zip (required)

Zip (required)
  Manufacture (required)
  Purchase Order#(PO Number for your reference only*)
  Model# (required)
  Estimate (required)

  Serial# (required)
  Shipping Method(Method of Return Shipping to you!!)

  Phone# (required) xxx-xxx-xxxx

  Fax# xxx-xxx-xxxx
  E-mail(Used for: Est. & Tracking Conf.)

Contact Name (required)


  Accounts Payable Name & Phone # (required)
 

Accessories With Unit
Leads QTY:

 
Please tell us if you are including a line cord.
  Pads QTY:
  Applicator(s)(*Please List SN# of Applicator*)
  # Red # Black # Other
  # 2cm # 5 cm # 10cm
  Other Accesories / Additional Comments
  Complaint with unit (required)

 
  Date Received (MM/DD/YYYY)  (ClockWork Use ONLY !!)
PLEASE DO NOT TRY TO PRINT THIS PAGE
Please click the button below to process your RMA. The next page that appears will be printable.
Please Send a copy of NEXT PAGE with Equipment !!





CAUTION! ClockWork is not responsible for damage in shipping when received. Do not pack in foam Peanuts/Popcorn for this is used as a filler only and will shift during shipment
and allow damage to your product. Make sure contents are secured firmly and padded well on all four sides with at least 2 to 3 inches of padding.
*Purchase Orders are for your reference only. ClockWork can not accept POs as a method of payment.
Please Note!