Agency Dry Suit Intake Form

Please use this form if you’re sending multiple dry suits in for repair. For small-quantity repairs, please pre-purchase the desired gasket and service via our retail repairs page. All returned suits must be clean and dry before shipping.

If you’re sending a suit back for warranty evaluation, please refer to our Hassle-Free Returns page for instructions.

All dry suits returned to NRS will go through a visual inspection that will evaluate each gasket and the overall condition of the suit. However, this inspection is not a leak test. A leak test can be performed for an additional charge.

Customer Info

Customer Number (if available):
Organization Name (required):
Contact Person Name (required):
Contact Person Email (required):
Contact Person Phone (required):
Important: Please be sure to include valid Contact Person information (full name, email address, and phone number) for an individual who is responsible for the dry wear; all agency repairs must have confirmation with this individual before work can begin.
Is your agency tax exempt? (required) No
Yes
Tax ID (required):

Billing Address

Name (required):
Address (required):
Address Line 2
Address Line 3
City (required):
State (required):
Zip or Postal Code (required):
Country (required):

Choose a Shipping Address

Ship to address Ship to My Billing Address
Ship to Different Address

Name (required):
Address (required):
Address Line 2
Address Line 3
City (required):
State (required):
Zip or Postal Code (required):
Country (required):

Shipment Details

Brand(s) of Dry Wear Being Shipped to NRS:
Number of Suit(s) (required):
Size(s) & Color(s):
Repair Notes (or Other Info We Should Know About this Shipment):

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