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RMA Form
RMA Form
Customer Information
Date
*
MM slash DD slash YYYY
Company Name
*
Dealer Account Number
*
Contact Name
*
First
Last
Contact Phone
*
Contact Email
*
Original Customer PO #
*
Order/Invoice #
*
Product Return Information
For physical damage, photos may be required to help identify the condition of the product being repaired or replaced. In many cases, the use of photos may eliminate the need to return product for evaluation. A 10% restocking fee will be applied to all non-defective or undamaged merchandise returns.
Condition of Product
*
Unopened Factory Sealed
Product New & Opened (Non-defective)
Damaged or Defective
Reason for Return
*
Found Broken/Damaged in Crate (Concealed Damage)
Found Broken/Damaged in Crate (Notated on Delivery Receipt)
Defective/Dead on Arrival (D.O.A.)
Wrong Product Ordered
Wrong Product Received
Product No Longer Needed
Date Damage Discovered
*
MM slash DD slash YYYY
Photos of Damage
*
Drop files here or
Select files
Max. file size: 80 MB.
Please upload photos of the damaged product and crate (if applicable).
Additional Notes
Product Information
Please include Item Number, Item Description, Item Quantity and Serial Number (if applicable) for the product(s) you wish to return.
Product #1 Details
*
Product #2 Details
Product #3 Details
Product #4 Details
Signature
By affixing my signature below, the undersigned certifies that the information provided for the RMA is accurate.
Signature
*
Date
*
MM slash DD slash YYYY
