Your Name * First: Last: Address * Daytime Phone Number * Your Email * Please chose from the following items and list any additional items that will be included. Please chose a model 515AquaChampBreathworkExplorerBraimaxDreamerGalaxyGalaxy ProHalcyonLuma10MuseMuseSharpNexisNovaNova ProNova Pro 100InnervisionInnerPulsePLIPR200ProTutorProTutor2ROSHISensoriumSST Please chose glasses model ColorTrackColorTrack4hemiStimpvStimStandard Please list any additional items that will be included. Click here that you have read (and understood…) the PHOTOSONIX Repair PolicyRead the Repair Policy here Upon receiving the RMA please print this form and include it in the box with the items. To speed the testing/repair process please also add a note as to what the items are not responding to. We strongly suggest you insure the package. Please account for the testing and repair to take 2-3 days. Cost for the repaired items will be sent to you via email and a PayPal payment request will follow. PHOTOSONIX has been making AVS relaxation stimulation devices for many years and unfortunately for some items parts are no longer obtainable. You will be contacted if an item can no longer be repaired. Thank you,PHOTOSONIX REPAIRS3301 E 19th Street, Signal Hill, CA 90755, USA562.981.8800 x2repairs@photosonix.com