Lanner FW-6436, User Manual, Page: 19 / 19

16
Terms and Conditions
Appendix A
Embedded and Industrial Computing
RMA Service Request Form
When requesting RMA service, please fill out the following form. Without
this form enclosed, your RMA cannot be processed.
RMA No:
Reasons to Return: Ŀ Repair(Please include failure details)
Ŀ Testing Purpose
Company: Contact Person:
Phone No. Purchased Date:
Fax No.: Applied Date:
Return Shipping Address:
Shipping by:
Ŀ Air Freight Ŀ Sea Ŀ Express ___
Ŀ Others:________________
Item Model Name Serial Number Configuration
Item Problem Code Failure Status
*Problem Code:
01:D.O.A.
02: Second Time
R.M.A.
03: CMOS Data Lost
04: FDC Fail
05: HDC Fail
06: Bad Slot
07: BIOS Problem
08: Keyboard Controller Fail
09: Cache RMA Problem
10: Memory Socket Bad
11: Hang Up Software
12: Out Look Damage
13: SCSI
14: LPT Port
15: PS2
16: LAN
17: COM Port
18: Watchdog Timer
19: DIO
20: Buzzer
21: Shut Down
22: Panel Fail
23: CRT Fail
24: Others (Pls specify)
Request Party Confirmed By Supplier
Authorized Signature / Date Authorized Signature / Date