Return Merchandise Authorization (RMA) Form

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Contact (first and last name):*
Company Name:
Mailing Address:
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Zip Code:
Telephone #:*
E-mail: *
Number of Items:
Model Number(s):
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Serial Number of the Equipment:
Invoice/Order Number:
Invoice/Order Date:
Select the type of equipment:*
Type of RMA Request:
Reason for RMA Request:
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Description of the Problem (include any troubleshooting you have already attempted):*
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