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)
1. No
2. 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):

Read & Acknowledge

Before You Ship:

Please clean and dry any used item before returning for repair or assessment.
Pack items in a suitable shipping container. Please clearly write the generated reference number (provided on the next page) on the outside of the package.
Use FedEx, UPS or USPS to ship items to the address provided on the next page.
Note: NRS is not responsible for any damage caused in shipping.

Payment Information:

We will call you once we have assessed the suit(s) and have a quote ready. Work on dry wear will not begin until we have a payment method on file. Please allow 2–4 weeks for repairs to be completed.

I have read, understood, and acknowledge the above information and instructions.

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