RMA Request
Company/Customer Name:
Account Number:
Original Invoice:
Original PO:
Contact Name:
Email:
Telephone:
Reason for Return
:
Damaged Shipment
Tech Support/Defective Product
Product no longer needed
Damaged Shipment
Purchase Order or Sales Order number:
Was the shipment refused?
Yes
No
Was the damage noted on the bill of lading?
Yes
No
Upload any photos of damage.
Do you have the ability to test the product to determine if the damage is only to the packaging?
Yes
No
Model number
Serial number
If we send a carrier to pick up the shipment, what is the current address and contact information?
Name
Street Address
City
State
ZIP
Phone
Do you need a replacement?
Yes
No
May we use the original PO #?
Yes
No
Please enter desired new PO #:
Are we shipping the replacement to the same address as the original PO?
Yes
No
Name
Street Address
City
State
ZIP
Phone
Tech Support/ Defective Product
Model:
Serial Number
Description of the problem:
Did you purchase additional service or warranty for this product?
Yes
No
Not sure
Product no longer needed
Model:
Serial Number
Reason for return
Is the product factory sealed?
Yes
No
Was this a Try It To Like It order?
Yes
No
Contact Information