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Return Information
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Reason for Return
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Incorrect product delivered
Incorrect quantity delivered
Early delivery
Delivery error
Out of box failure
Failed in warranty
Failed outside of warranty
Visual or mechanical defect
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Quantity
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Hours Of Operation
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Date Product Placed In Operation
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Date Of Product Failure
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Product Category
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Broadband data converters
Camera
CCTWT
Defence Imaging
Helix TWT
High Reliability ICs (QP Semi Product)
High Reliability Microprocessors
Imaging Sensors (CMOS CCD EMCCD)
Inductive Output Tubes
Klystrons
Magnetrons
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Scientific Imaging
Semiconductor lifecycle management
Space Imaging
Spark Gaps
Thyratrons
X-ray Dental Sensor
Others
Returned Product Name And Description
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Make, Model And Description Of Equipment
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Description Of Failure
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Your Reference For Return
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When Did You First Note Problem
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At incoming quality control
At first connection
During operation in the field
Upgrade request
Additional Return Information
Please supply us with any additional information to help process your return. If you are returning a camera, a CCD/CMOS sensor or X-ray dental sensor please indicate which device.
Attachment
Please upload files with extension .jpg, .png, .pdf, .bmp, .tiff, .xls or .xlsx. The preferred maximum file size is no greater than 20 Megabytes. For alternate file formats or larger files please contact us directly.
Imaging Device
Temperature
Numerical Aperture
Integrated Time
Focal Length
Camera Gain
Synchro Mode
Camera Over Stressed
Has the camera been over-stressed such as the power supply left connected to outputs?
Light Used In Operation
Visible
Infrared
UV
Verification
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