Autopsy Saw Repair Request Form
Contact Name

Contact Information

Bill To Address
Ship To Address
Ship to address is same as billing

Shipping

How do you want your return shipped?

Equipment Information Item #1

e.g. will not turn on, weak cutting, burning smell, needs new cord.
Contact me with estimate item #1

Equipment Information Item #2

e.g. will not turn on, weak cutting, burning smell, needs new cord.
Contact me with estimate item #2

Equipment Information Item #3

e.g. will not turn on, weak cutting, burning smell, needs new cord.
Contact me with estimate item #3

Purchase Order

Morta Medical does not require a purchase order number, this is for your accounting if needed.
Drag & Drop Files, Choose Files to Upload
If you need to include a copy of your purchase order or if you have photos you need to upload, you can do it here.
Drag & Drop Files, Choose Files to Upload
We are only required to collect Sales Tax for Florida purchases. If you are Florida Sales Tax exempt, you can upload your certificate. You only have to do this once a year.
Contact Us

Talk to us for more information at:
(904) 230-9981
Morta Medical, LLC
Surgical Instrument and Medical Equipment
Sales and Service Provider

call now