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Repair Return Request
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.
Basic Information
*
Contact Person :
*
Company :
Customer ID:
*
Date :
*
Telephone # :
Fax #:
*
E-Mail :
*
Technical Contact Person :
*
Telephone # :
Fax #:
*
E-MAIL :
Billing Address (If Out-Of-Warranty)
*
Company Name
*
Address 1
*
Address 2
*
City
*
State
*
Country
*
Zip Code
Shipping Address
Same as Billing Address
*
Company Name :
E-Mail:
*
Address 1 :
*
Address 2 :
*
City :
*
State :
*
Country:
*
Zip Code :
Repair Items
Part #
*
Serial # (See Note above)
*
Invoice #
*
Problem Description
*
New Item
Note
1: Please provide BTOS serial number if entire system is being returned.
1. Did the product work properly when you received it?
*
Yes
No
2. Please indicate the Operating System:
*
Windows XP
Windows 7
Windows 8
Windows 10
Windows 2003
Windows 2008
Windows 2012
Windows 2016
Unix
Linux
Other
3. Have any changes been made to the product, application, or operating system since it was last working?
*
Yes
No
If yes, please specify:
4. Is any third party hardware and/or software being utilized?
*
Yes
No
If yes, please specify:
5. Are any accessories included (SD card, SIM card, etc …)?
*
Yes
No
If yes, please specify:
Quotation before repair
Quotation before repair
Warranty Repair
Non-Warranty Repair
Cross Shipment Request ( Valid only within 60 days of original shipment and requires Advantech Czech Management Approval )
Our contact details: Tel: +420 464 647 209; Email:
repairs@advantech.cz
I have read and understand the policy for the product I am returning.
I Agree
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