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Return Material Authorization (RMA) Form




Terms & Conditions


Please fill in the following form and click 'Submit' (at bottom of form).
Mandatory items are bold. Up to 4 products can be submitted with this form. If you have more than 4 products, please repeat the process for the additional products.

Company:
Address:
 
City:
State:
Zip/Postal Code:
Country:
Contact Name:
Contact Email:
Phone:
Fax:
 
Qty Product Serial No. Problem Description Purchase Date
 
RMA Charges (when applicable):
Repair In-Warranty No-charge if defective
Out-of-Warranty 100% of new
Return drop-ship to 3rd party $50 drop-ship fee
Restock Original unopened package 30% of new
Opened package 35% of new
Over 6 months old 35% of new

 
Purchase Order #:
Notes: