RMA Request

Store Name *

Store Address *

First Name *

Last Name *

Email *

Customer Name *

Customer Phone (10 digits with no dashes)*

Customer Address *

Customer City *

Customer State *

Customer Zip Code *

Make a pro-rated claim?
Please check box for pro-rated claim

Date Spa Was Delivered *

Date Service Was Performed *

Serial Number on Spa (8 digits) *

Model *
Viking 1Viking 1PViking 2Viking 2PViking 3Aurora 1Aurora 1PAurora PSLAurora 2Aurora 3EclipseSupremeRoyale PRoyale PSLRoyaleRoyale ETSRegal PRegal PSLRegalRegal ETSLegacy 1Legacy 2Legend 1Legend 2Heritage 1Heritage 2Tradition 1Tradition 2

Service Call Fee (only yes if manufactured within 2 yrs of service date) *
YesNo

Technician Name *

Customer Complaint or Problem *

Repairs Made *

Part 1 *

Part 2

Part 3

Part 4

Part 5

Part 6