repair form

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Please select RMA type : Repair Return Request Credit Return Request

Repair Return Request Form

Note:

An RMA Number must be obtained from our staff prior to returning any products. Any RMA returned without an RMA number will be rejected by our Shipping Department. All RMA numbers are valid for 60 days from the date of issuance.
Fields marked with an asterisk (*) are required. Serial numbers must be given before a Repair RMA number can be issued.

*Contact Person ：

*Company ：

Customer ID：

*Date ：

*Telephone # ：

Fax #：

* E-Mail ：

* Technical Contact Person ：

*Telephone # ：

Fax #：

* E-MAIL ：

*Company Name:

*Address 1:

*Address 2:

*City:

*State:

*Country:

*Zip Code:

* Company Name :

E-Mail

* Address 1 :

*Address 2 :

*City :

*State :

* Country :

* Zip Code :

	*Part #	*Serial # (See Note above)	*Invoice #	*Problem Description

New Item

Note 1: Please provide BTOS serial number if entire system is being returned.

For further details, contact: Tel: 1-815-433-5100 Fax: 1-815-433-5109 Email: support@advantech-bb.com