Service Repair Return Form
Address - (Full Street address including Suburb, State, & Postcode)
(Full shipping address - where device will be sent from, and returned to)
Contact Person's Name
InBody Device Model
Select Device Model
BSM 170 Stadiometer
BSM 370 Stadiometer
BPBIO 320 Blood Pressure Monitor
If "Other Device" selected above, please describe the device
InBody Device Serial Number
Details of the fault, or service required
Address to ship your InBody Device to: InBody Service Centre Unit 22 / 30 Mudgeeraba Road Mudgeeraba, QLD, 4213
Certain devices can store your user-generated data (your saved files). Repairs to these devices could result in you losing your data. You should back up your data before having your device repaired. You must ensure that your device is packaged securely and sufficiently so as to avoid being damaged during shipping. All shipping must be organised and paid for directly to your preferred shipping provider. InBody Body Composition Analysers Pty Ltd are not liable for any loss or damage of items during shipping. All invoices for repairs/services must be paid in full before goods are shipped back from the InBody Service Centre.
I understand and agree to the above Terms, Conditions, and Processes.
Full Name of Person Submitting this Form