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Return Merchandise Authorization (RMA)
form
RMA Number: _______________________
Date of Purchase: _______________________________
Company Name: ________________________________
Contact Person: ________________________________
Address:
________________________________
________________________________
Phone Number: ________________________________
Description of Problem: __________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Return Instructions:
Step 1:
Obtain an RMA number from your dealer/distributor.
Step 2:
Fill out this form and include proof of purchase receipt if product is under
warranty.
Step 3:
Pack this form and the sign in the original carton (or a suitable replacement).
Please write the RMA number on the outside of the package. Any damage to the
product during shipment is the responsibility of the freight company or the
owner of the sign.
Step 4:
Ship the package, postage/shipping prepaid to:
Adaptive Micro Systems, Inc.
Attn: RMA No. ________
7840 North 86th Street
Milwaukee, WI 53224
PLEASE WRITE THE RMA NUMBER ON THE LABEL OF THE SHIPPING
BOX - THANK YOU.
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