Helac Corporation | Hydraulic Rotary Actuators - PowerTilt

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Return Material Authorization Request

Please fill out this form to request a Return Material Authorization (RMA) number for product returns to Helac Corporation. Additional information may be requested before a RMA number is issued. Please do not return anything without a RMA number. (* = required)

* Company name
* Your name
Title
Address

City
State
Postal Code
Country
* Telephone
* Email address

Please complete below for Unit Returns

Serial #
Model #

Reason for return / description of problem


Please complete below for Parts Returns

Original order #

Reason for return / description of problem