RMA Service Request Form
Date:1997.10.20
When requesting RMA service, please fill out this “RMA Service Request Form”.
This form needs to be shipped with your returns. Service cannot begin until we have
this information.
Company:
Person to contact:
Phone No.
Purchased Date:
Fax No.:
Applied Date:
Return Shipping Address
*For Supplier only
RMA No:
Account Sales:
Model No.
Serial No.
Problem Code
Remark
*This form could be copied for more description
*Problem Code
:
01:D.O.A.
02: Second Time R.M.A.
03: No Screen
04: CMOS Data Lost
05: FDC Fail
06: HDC Fail
07: Bad Slot
08: BIOS Problem
09: Keyboard Controller Fail
10: Cache RMA Problem
11: Memory Socket Bad
12: Hang Up Hardware
13: Hang Up Software
14: Other ( Pls. Specify )
Request Party Confirmed By Supplier
Authorized Signatures Authorized Signatures
