Parts Return Form


To our valued customer:

We are always looking for ways to improve our service, and your input is greatly appreciated. If you are dissatisfied for any reason with the condition of your shipment, please fill out this form.

Please fill out your contact information below to obtain required return authorization and to have your broken part replaced with an exchange unit. A customer service rep will contact you after receiving this form. All required fields are marked with a *.

First Name *

Last Name *

Email *

Confirm Email *

Company Name *

Telephone *

Address *

City *

State *

ZIP Code *

Preferred contact method

If you are a Seal tech or Authorized Service Rep please also fill out the information below:

Tech Rep #

PowerHelp Call #

* required

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