Repair Request Form

1.800.959.0146

Address:

Rotary Systems, Inc.
14440 Azurite Street NW
Minneapolis, MN 55303

Numbers:

Toll Free: 1-800-959-0146 Phone: 763-323-1514
Fax: 763-323-1622

Emails:

info@rotarysystems.com engineering@rotarysystems.com customerservice@rotarysystems.com

Contact Information

- indicates a required field

Company:

Address 1:

Address 2:

City:

State:

Zip:

Country:

Contact First Name:

Contact Last Name:

Phone:

Fax:

Email:

Distributor:

Distributor Phone:

Operating Data

Model Number:

RPM:

PSI:

Media:

Temperature:

Is Media Filtered?:

Yes

Filter Micron/Mesh Size:

Months in Service?:

Reason for the return:

Describe Application:

(Machine type, type of mounting: vertical or horizontal?)

Other Information

Installation

Piped Solid?:

Mishandled?:

Hoses Taut?:

Run Dry?:

Union Problem

Is the union leaking?:

How fast is the union leaking?:

When in the cycle is it leaking?:

Do you want this union repaired if possible?:

Yes

Repair Request Form

Address:

Numbers:

Emails:

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