Haas Rotary Repair

Contact Information

Contact Name*

First Last

Phone Number*

Fax Number

Email*

Shipping Information

Company Name*

Shipping Address*

Street Address Address Line 2 City State ZIP Code

Billing Information

Is Billing Address different than Shipping Address?

Billing Address

Street Address Address Line 2 City State ZIP Code

Product Identification

If you are not sending the control with the indexer/rotary unit, please provide the Control Serial Number and an explanation.

Control Serial Number

The Control is not being sent because:

Indexer/Rotary Model*

Indexer/Rotary Serial #

Motor Identification

Select the diagram that matches your Rotary Cable Connector.

Rotary Cable Connector*

Alarms and Reason for Repair

When the problem occurred, please describe the following:

Alarm(s)*

The Rotary Product was being controlled by

Haas Rotary Control Box
Hass Mill

Description of Problem*

Action Required*

Repair as Needed
Call with Estimate

Other Comments

Purchase Order

You may upload a purchase order for the repair with this form, or send a purchase order with the unit. Please include the PO number, name, and contact information of the person authorizing the purchase order. The purchase order should be for an amount to be determined after the unit is received by HFO NYMAT.

Email: servicedept@nymat.com
Fax: 585-248-3463

Purchase Order Number

Signed Purchase Order

Max. file size: 2 MB.

Note: Selected file should be less than 128 KB.

Authorizing Person's Name

First Last

Authorizing Person's Phone

Authorizing Person's Email

HFO NYMAT will contact you upon completion of the repair to obtain a revised purchase order. If a purchase order is not received within 5 days of contact, the unit will move to stock and weekly stock charges will be added to the final invoice.

By submitting this request you agree to our payment terms of NET 30 Days.

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Email

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