Return Authorization Request Form
To request a Return Authorization number please fill out and submit the following form:
Please provide the following information:
Name* Organization Phone* ex: (555) 555-1212 FAX E-mail ex: someone@somewhere.com
Name*
Organization
Phone*
ex: (555) 555-1212
FAX
E-mail
ex: someone@somewhere.com
Reason for Return Repair Return for Credit Model* ex: TM500 or Deep Cell 1000 Serial Number* The serial number is located on the back of the unit in the lower right hand corner. ex: 99/05/12345 Ownership You Own Loaner Unit Rental Unit Leased Unit Description of Problem
Model*
ex: TM500 or Deep Cell 1000
Serial Number*
The serial number is located on the back of the unit in the lower right hand corner. ex: 99/05/12345
Ownership
You Own Loaner Unit Rental Unit Leased Unit
Description of Problem
* Required Fields
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