Return Merchandise Authorization (RMA) Request Form

(Package without RMA# clearly marked outside will be rejected!)

Customer Name: ________________________ Company: ______________________________

Phone No.: ____________________________ Fax No.: _______________________________

Address: ______________________________________________________________________________

Please check one:
  • Return for Repair ( )      Credit ( )      DOA ( )
  • Shipping Method: UPS Red ( )      2nd Day ( )      3 Days ( )     GND ( )

    Invoice No.

    Invoice Date

    Product

    Serial #

    Problem Description

             
             
             
             

    Customer’s Signature: __________________________ Date :________________________

    RMA #: ____________________________ Date: ___________________________

    ** Please fill out this form completely & sign it. Fax it with an invoice copy to 510-226-6773 **