Upon receipt of this form, you will be provided the warranty status of the failed unit and an RMA#. LAUDA-Noah requires a purchase order prior to shipping any exchange, regardless of warranty status or repair option choice. Country * - Select -AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Customer Name * Fab Name * Contact * Email Address * Phone Number Model * - Select -POU3300POU3500S1200S2400S4400PSC1200PSC2400PSC4400PSC244008800Analog RCMRCM2RCMTRCMeRCM-PM2RCM-PM4TMO8TMO10TMO500Other Serial # (Only 1 Serial # per request) * Tool OEM & Platform - None -AixtronAMAT - CenturaAMAT - Centura 2AMAT - Centura 300mmAMAT - EnduraAMAT - Endura 300mmAMAT - P5000HitachiLam - StandaloneLam - AllianceLam - 2300Mattson - AlpineMattson - Aspen IIMattson - Aspen IIINovellus - PEPNovellus - SierraSemitoolTegalTEL - Unity IITEL - Unity IIeTEL - Unity MTEL - Unity MeTEL - TELIUSTrikon - Planar FXPUlvacVarianOther Tool ID Chamber Type - None -440045004700910094009600ASPASP+Cu SineCu MeteDeep TrenchDPS MetalDPS PolyDPS IIDRMeHighlandseMAXeMAX (CT)eMxPeMxP+EnviroExelanExelan FlexExelan HPTFlow FillHARTHART+HighlandsICPsmIridiaKiyoMxPMxP+RPSSCCMSCCM (SE)SierraStarStripSuper eViistaVersys MetalVersys PolyOther Chamber Position - None -ABCDPM1PM2PM3PM4P/C1P/C2P/C3P/C4Other Chamber Loop - None -CathodeWallLower ElectrodeUpper ElectrodePlatenOther Original Install Date Process Fluid N/ADI WaterFC-8270FC-3283FC-40FC-77HT-110HT-135HT-200Other Temperature Setpoint * Temperature Setpoint Unknown Temperate Setpoint Unknown LAUDA-Noah Agent(s) Serial Number of Replacement Failure Symptom(s) * Action(s) Taken Will Failure Analysis Be Required? Yes No Leave this field blank Submit
