5300 Beethoven Street, Los Angeles, CA 90066
Tel: (310) 306-5556
•
FAX (310) 577-9887
•
e-mail: [email protected]
RMA REQUEST FORM
RMA NUMBER:
CUSTOMER
NAME:
RECEIVED
F
ADD
ROM
RESS:
(STREET ADDRESS – INCLUDING SUITE OR M/S NUMBER)
(CITY – STATE – ZIP OR COUNTRY CODE) (COUNTRY)
RETURN TO
ADDRESS:
(STREET ADDRESS – INCLUDING SUITE OR M/S NUMBER)
(CITY – STATE – ZIP OR COUNTRY CODE) (COUNTRY)
CONTACT PERSON:
(FIRST AND LAST NAME) (TITLE/RANK)
(TELEPHONE) (FAX)
(E-MAIL)
MODEL NUMBER
SERIAL NUMBER
REASON FOR RMA:
PLEASE FAX THIS FORM TO OPHIR RF, INC.
AT (310) 577-9887 ATTN: CUSTOMER SERVICE
THERE IS A $500 MINIMUM EVALUATION CHARGE FOR ALL NON-WARRANTY
REPAIRS. PURCHASE ORDER TO BE PRESENTED PRIOR TO COMMENCEMENT OF
REPAIRS. FOLLOWING EVALUATION, THE COST OF REPAIRS WILL BE SUBMITTED
FOR YOUR APPROVAL AND PURCHASE ORDER AMENDMENT.
DO NOT SHIP AMPLIFIERS C.O.D. – OPHIR RF WILL NOT ACCEPT ANY C.O.D.
SHIPMENTS. PLEASE CALL US WITH ANY SHIPPING QUESTIONS.
OM_5100F 12/12/01
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