Returned Material Authorization Form

To return units for repair or check, please:

1> Fill in carefully the "Return Material Authorization Form"
and send it to FLS Technical Assistance

2> FLS Assistance Team will return you the "Return Material
Authorization Form" approved with your personal ARM number
(Authorization Return Number)

3> Ship back the units only with the approved
"Return Material Authorization Form" enclosed.

Please note: Repairs will not be processed without
the approved "Return Material Authorization Form".

Customer Information
First Name *
Last Name *
Company Name *
Address *
City *
Country *
Zip Code *
Telephone *
Fax *
E-mail *
Distributor
Customer Name
Customer Address
End User
Shipping address for repaired parts (if different)
Activity Field
Other Activity Field
Returned Parts
Part N°
Description
Quantity
Batch N°	(Separate with / if more than one item)
Part N°
Description
Quantity
Batch N°	(Separate with / if more than one item)
Application details
Pipe Material
Pipe Size
Pipe Schedule
Working Pressure	MIN: MAX: TYP:
Working Temperature	MIN: MAX: TYP:
Fluid
	Clean Dirty with solid
	% Concentration
	Dirty with Chemicals
	% Concentration Chemical
Fluid viscosity	(centipoises)
Fluid specific gravity	(Kg/m3)
Fluid conductivity	(µS)
Flow Rate	MIN: MAX: TYP:
Instrumentation description
Sensor
Other
Body material
O-ring material
Sensor location
Distance upstream of
Distance downstream of
Installation Fitting
Monitor
Other
Monitor Location	Local Remote Distance from sensor
Power Supply
Message/Request
Action required

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08/06/2011
WATER EXPO 2011
From 29/06 to 01/07 it will take place in Shenzhen the 13th edition of WATER EXPO: the 13th International water treatment & fluid, pump, valve and pipe exhibition for south China.

03/01/2011
Electromagnetic FLOWX3 sensors for special applications
Available the new versions of FLOWX3 Magmeters suitable for high temperature applications up to 150° C.