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. "

will add $11.50 to amount !!

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


** 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 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!