Repair Form Complete the Repair Form and Get Fastest Service If you prefer to use a PDF form, please complete this form: Repair Form PDF Mount Sopris Repair Form * Indicates required field. For the fastest service, please provide as much information as possible. Company Information Date * Contact Name: * Company Name: * Telephone Number: * Email Address: * Confirm Email Address: * Returned Tool Details Model # S/N Model # S/N Model # S/N Model # S/N Model # S/N Problem Identification History (Include statement detailing equipment history): Acquistion System Data Logger Type and Serial Number: * LoggerSuite Software Version: Laptop Operating System: WellCAD Software Version: Logging Conditions Wireline Type: Wireline Length: * Winch Model: * Other Information: Fault Indications: Investigations Describe tests performed to identify the source of the fault: * Billing Information Expedite Repair? (Note: Surcharge is labor rate x 1.5) * Yes No Repair Service Charges: To reduce turn-around time and cost, repair estimates are not normally provided. If you require a repair estimate, please indicate in comments section below. Labor Rate for non-warranty repairs: $115/hour Replacement Parts: As Required Customs Clearance Fees (International Only): As Required Return Shipping Charges (if applicable): As Required Customer equipment not paid for within 30 days following the completion of repair, will be subject to a 5% monthly charge to cover carrying costs. After 12 months, Mount Sopris has the right to dispose of the equipment. Warranty Repairs: Warranties on equipment only apply to purchases from Mount Sopris Instruments within one year of repair date. All repairs on existing tools have a six month warranty. PM Tubes, Gamma Crystals, and any general damage caused by customer error are not covered under Warranty repair. Comments Return Shipping Information (after repair) PLEASE BE ADVISED: Customer is responsible for return shipping charges to Mount Sopris Instruments, COD shipments are not permitted and will delay repair of equipment. Any packaging that is not sufficient for return shipping will be discarded, including all plastic tubes for probes and worn out boxes. New packaging will be made available at customer’s expense. ATTENTION INTERNATIONAL CUSTOMERS: Customer is responsible for return shipping charges to Mount Sopris Instruments, COD shipments are not permitted and will delay repair of equipment. CPT shipments are allowed to Denver International Airport. Mount Sopris Instruments can then clear and deliver goods to our facility. All customs clearance and final delivery charges will be charged back to customer. Door to door shipments (DDP) are suggested. You may contact firstname.lastname@example.org for any assistance or questions. The following documents are needed for all International return shipments to the U.S.A. Commercial Invoice (needs to contain the following information) Description of goods – include part number of product and serial number if available. Country of Origin: (U.S.A.) (HTS) Harmonized Code (include the following on the commercial invoice): 9801.00.1012 – “U.S. Goods Returned for Repair” RMA Number: if available Value of Goods Signature Packing List (needs exact weights and dimensions of each package returned) Waybill (the nominated carrier of your choice will provide this document upon setting up the shipment) NOTE: Please check with your local customs authority before sending equipment to the U.S. Every customs authority has different procedures and documentation requirements. Some countries require that goods returning to the U.S. be registered prior to shipping. After the above documents are completed, please scan and email to the below email address and MSI contact. email@example.com If above documents are not received, customs clearance and the repair process will be delayed. Mount Sopris Instruments is not responsible for any customs clearance delays due to non-receipt or inaccurate documents. Customer Bill-To Address Company Name * Address Line 1 * Address Line 2 City / ST / ZIP * Country * Customer Return Ship-To Address Company Name Address Line 1 Address Line 2 City / ST / ZIP Country Shipping Account Would you like to use the MSI Shipping Account? * Yes No MSI will pre-pay ship costs and add to invoice Your Account # Carrier (ex: FedEx, UPS, etc.) Return equipment to the following address Mount Sopris Instruments 4975 East 41st Avenue Denver, Colorado 80216 United States of America Telephone: +1-303-279-3211 reCAPTCHA: Please verify your humanity If you are human, leave this field blank.