Air Dimensions 50th Anniversary Logo

Return Merchandise Authorization Form

Important Return Information
To insure a prompt resolution for the items to be repaired please comply with the following instructions.

  1. Include the fully completed Return Authorization form as well as any supporting documentation with the shipment to:
    Air Dimensions, Inc.
    1371 West Newport Center Dr
    Deerfield Beach, FL 33442

  2. All Returned shipments Must be shipped Prepaid. ADI will refuse any shipments sent back on a collect basis.

  3. Ship the box prepaid to the address provided above, be sure to include the RMA number in the attention line of the shipping label.
When your pump(s) arrive at our factory, it will be inspected, we will then attempt to contact you to provide a repair estimate, if applicable. Please note that we will NOT be responsible for pumps left over 30 days beyond this attempt.

If you require additional assistance please contact ADI directly at +1 (954) 428-7333 (USA and Canada Only).


* - Denotes a required field

Contact Information
Company Name *
First Name *
Last Name *
Telephone *
(include country code if outside US)
(include country code if outside US)
Email Address *
* By checking this box, I hereby certify that the information above are true and correct.
Billing/Shipping Information
Bill To
Address Line 1
Address Line 2
Zip Code
Merchandise Information
Original PO# and/or Sales Order#
Serial# (more info) *
Pump Model# (more info) *
Reason for return*
Is this item being returned for credit? (Note: A restocking fee may apply) *

Please note that there is a $100.00 diagnostic charge for all pumps returned outside of their warranty period. Warranty is (1) year from date of manufacture. The first (4) digits of the pump serial number represent the year and month of manufacture. For example, Serial #1510999 was manufactured in the year 2015 and the month of October. All warranty claims must be validated at ADI, regardless of date code. Please contact factory with any questions.

* By checking this box, I agree to pay the diagnostics charge for pumps returned outside of their warranty period.
Decontamination Declaration
Pump Media Used*
Please select the statement that best matches the pump you are returning*
Please check this box after reading this message*

Teflon® is a registered trademarks of E. I. du Pont de Nemours and Company
Viton® is a registered trademark of Dupont Dow Elastomers