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An RMA is required for all return merchandise. All fields are required to be completed for this RMA to be processed.
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Date
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(Please use normal date formatting 00/00/00)
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RMA # ISSUED:
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Customer P.O.#:
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Company
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Contact:
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Contact Phone:
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Contact Fax:
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Contact Email:
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Ship To Address:
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Return Carrier:
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Standard return is ground. For alternatives please provide your carrier & account number. |
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Carrier Account:
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Remarks:
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COMPLETE BELOW FOR EACH UNIT RETURNED ON THIS RMA
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Serial Number Unit 1:
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Model Number Unit 1:
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Part Number Unit 1:
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Deficiency Reason Unit 1:
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Serial Number Unit 2:
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Model Number Unit 2:
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Part Number Unit 2:
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Deficiency Reason Unit 2:
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Serial Number Unit 3:
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Model Number Unit 3:
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Part Number Unit 3:
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Deficiency Reason Unit 3:
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Serial Number Unit 4:
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Model Number Unit 4:
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Part Number Unit 4:
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Deficiency Reason Unit 4:
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Serial Number Unit 5:
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Model Number Unit 5:
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Part Number Unit 5:
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Deficiency Reason Unit 5:
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IMPORTANT Print (2) two copies of this Form. Use one copy as a "PACKING SLIP" and retain one for your records.-
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