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" Online Return Merchandise Authorization Request Form "
To place a request for Service, please fill out the following form and a customer Service Representative will contact you. (
*
Required Fields )
*
Company :
*
Contact :
*
Phone numbers :
*
Address :
*
City, State, Zip Code :
Email :
(Please state in detail the reason you are requesting the return of this product.
1) Defective - complete detailing of the problems being experienced is needed.
2), 3) Credit or Exchange - a complete reason for this request is needed.)
*Type of Return :
1) Opened Defective
2) Opened non-defective
3) Factory Sealed
*
Complete Problem Details :
*
Product Description :
Model# :
*
Serial# :
if not applicable enter N/A
*
Invoice/PO# :
If defective product is it in Warranty? :
Yes
No
