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Formulaire RMA

Return Authorization (RMA) Number Request


Please use this form to provide us with the following information when returning product for warranty repair, non-warranty repair or credit. Proper completion of this form will prevent delays in warranty repairs, non-warranty repairs, or credits. Your RMA request can’t be processed without this information.
This page should be filled out with the requested information email to RMA issuing person at                                 

                                                               Date:                                                                                                            


Company Name

Contact Person:  

Tel:   

Fax: 

Address: 

Original Invoice Number:

Is this a repair or a credit request? (circle one):  Repair: ___X_____   Credit: _________

Model No.

QTY

Defect in detail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

Note: No unauthorized returns will be accepted. All returns must have an RMA number clearly visible on the outside of the box.