RMA Request Form
This form is for beverage panels only. Contact us for information about Industrial Panel Repairs.
If you have any questions, please contact us at
orders@mcdantim.com
or call 1-888-735-5607
By completing this form, you are allowing a McDantim employee to contact you for information. We do not share any information submitted on this form.
* Required
Email address
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Your email
Company Information
Company Name
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Your answer
Address
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Your answer
City
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Your answer
State
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Choose
Alabama - AL
Alaska - AK
Arizona - AZ
Arkansas - AR
California - CA
Colorado - CO
Connecticut - CT
Delaware - DE
Florida - FL
Georgia - GA
Hawaii - HI
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Illinois - IL
Indiana - IN
Iowa - IA
Kansas - KS
Kentucky - KY
Louisiana - LA
Maine - ME
Maryland - MD
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Texas - TX
Utah - UT
Vermont - VT
Virginia - VA
Washington - WA
West Virginia - WV
Wisconsin - WI
Wyoming - WY
Zip Code
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Your answer
Contact Information
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Contact Name
Your answer
Phone Number
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Your answer
Part Number
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TM-1 (Trumix® Single, TM100)
TM-1HF (Trumix® Single HF, TM100HF)
TM-2 (Trumix® Double, TM200)
TM-2HF (Trumix® Double HF, TM200HF)
TM-3 (Trumix® Triple)
Required
Describe the Problem
Leaking - Inlets
Leaking - Outlets
Incorrect Blend - Blend Change needed (Charges may apply)
Gas Blend Out of Spec
Other:
Serial Number
*
Please locate the serial number of the blender. This is located in one of two spots. On the bottom of the panel near the inlets, usually in the following formats: G####, H####, ABC###, etc. On the blender body itself inside the panel, usually in the following format: ABC###. Please indicate if the serial number cannot be found.
Your answer
Out of Warranty Tier Selection
Tier 1 - Evaluation &/or Blend Change
Tier 2A - Blender Assembly Refurbishment
Tier 2B - Panel & Regulator Refurbishment
Tier 3 - Blender, Panel, & Regulator Refurbishment
Unsure? We can contact you.
Blend Change - Charge May Apply
Indicate Blends by CO2% / N2% per blend. For example, Blend 1: 25% CO2 / 75% N2, Blend 2: 60% CO2 / 40% N2
Your answer
Additional Information
PO Number? Hose Barb Preference?
Your answer
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