NVG Service Request

priority service of your NVG equipment

Thank you for trusting ASU with your NVG repair, 180-day certification or Hoffman 126-A Test Set calibration.

Questions? Call us at 208-287-5394 or email gogglemaint@asu-nvg.com.

For E3 NVGs, visit our E3-specific RMA Request form.

NVG Service Request

NVG Equipment Information:

QTY

System Serial Numbers

Add up to 10 serial numbers, separated by commas

Service Requested

Comments

Equipment Primary Contact Info

Name(Required)

First Last

Email(Required)

Phone(Required)

Do you have an ASU NVG Service Plan?(Required)

Yes

Not sure

Does your package fall within the following dimensions and weights?(Required)

If your package exceeds these parameters, shipping charges by the carrier will apply: 1 NVG (9 lbs): 15" x 10" x 10" 2 NVGs (18 lbs): 18" x 16" x 10" 3 NVGs (21 lbs): 28" x 8" x 8" 4 NVGs (36 lbs): 20" x 20" x 20" 6 NVGs (54 lbs): 26" x 16" x 19"

Yes, my package falls within the above parameters.

No, my package exceeds the above parameters, and I understand shipping charges will apply.

Do you need expedited shipping?(Required)

No, Complementary FedEx Ground is fine.

Yes, expedite using my billing information below.

Return Equipment to:

Carrier(Required)

Delivery Time(Required)

Shipping Account Number(Required)

Shipping Account Billing Zip Code(Required)

Ship To Company(Required)

Attention(Required)

Shipping Address(Required)

Street Address City ZIP / Postal Code

Country

CountryState

Phone(Required)

Email(Required)

Bill to Information

Same?

Billing Information same as Shipping Information

Bill to Company

Purchase Order # (enter "none" if you don't have a P.O.)

Billing Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

NVG Service Request

priority service of your NVG equipment

NVG Service Request

NVG Equipment Information:

Equipment Primary Contact Info

Return Equipment to:

Bill to Information

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