Return Merchandise Authorization Request Form

Before returning products to Prior Scientific, you must obtain a RMA (Return Merchandise Authorization number). Please fill out the form below and a Prior representative will contact you shortly in regards to your request.

Please Note:

  • RMAs may be subject to a $125 evaluation fee.
  • Equipment being returned to Prior must be in its original protective packaging. Equipment returned to Prior without its original packaging will incur a packaging charge to ensure the safe return shipment of the product.

All fields marked with an asterisk (*) are required fields.


Return Shipping Address:

*Company/Customer: 
*First Name:  
*Last Name:  
*Email: 
*Phone:  
*Address:  
Address 2: 
*City:  
*State/Province:  
*Zip/Postal Code:  
Country:
Company/Customer:
First Name: 
Last Name: 
Email: 
Phone: 
Address: 
City: 
State/Province: 
Zip/Postal Code: 
Country:
*Product Model:  Serial Number: 
Product Model: Serial Number: 
Product Model: Serial Number: 
Product Model: Serial Number: 
Product Model: Serial Number: 
Product Model: Serial Number: 

Please provide information if known:

Dealer purchased from: 
PO#: 
Sales Order#: 
Invoice#: 
Approx. Yr Sold: 
Software Being Used: 
Software Version: 
Prior Scientific Contact: 
 
*Description of Problem in as Much Detail as Possible: 
Any Other Comments:
Once you submit the RMA form a confirmation email will be sent to your email.