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RMA Request Form

CUSTOMER INFORMATION

Name:

Address:

City: State: Zip:

Telephone: Email Address:

PRODUCT TO BE RETURNED:

Quantity Manufacturer Model Serial #

Date Purchased

Reason for Request:

Please allow 14 business days for a response to this request. Purchase will be verified prior to the issuance of an Authorization for Return. The customer's name must match the purchaser's name (i.e. the credit card information). The manufacturers guidelines for warranty will be expressly followed in order to ascertain the validity of the return. Certain conditions may indicate that a restocking fee may apply. If so, you will be notified upon the issuance of your Return Authorization Number. Upon receipt of your RMA number, please ship the product to the address indicated on the Authorization form you will receive, and make sure that the RMA number is prominently displayed on the outside of your shipping box, or it will be refused and returned to you.

©Ayr Data, Inc. 2009