Clinical Dynamics Calibration

IMPORTANT: For all warranty work please call first and obtain a RMA#.
A RMA# is not required for standard service or upgrades.

Please enter information for Unit 1

Model Number: Serial Number:		Accessories: Note: We are not responsible for non-Clinical Dynamics accessories shipped with service units.
Software Version: Note: The Software Version is located on the initial power-up screen.

Reason for return:
Calibration
Repair
Replace Battery

Add Upgrades: Please provide detail and pricing given
for your upgrades in the comments box below.

Comments / Problems:

Note: the better the problem description, the faster your unit will be
diagnosed, serviced and returned to you.

Required Information:
Purchase Order Number For Service:
Maximum Amount Authorized:
Purchase order will be:	Note: We do require a copy of your purchase order.

Contact Information:
Company Name:
Billing Address:
City:	State: ZIP:
Contact Name:
Phone#:	Fax#:
E-mail:
Note: If shipping address is different than billing address, please advise shipping address in box below:

Clinical Dynamics Corporation, 10 Capital Drive, Wallingford, CT 06492 U.S.A.
In U.S.A.: 800.247.6427 International: 203.269.0090 Fax: 203.269.3402 E-Mail: info@clinicaldynamics.com