Adaptive Micro Systems Alpha - Return Merchandise Authorization (RMA) Form

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Return Merchandise Authorization Form
RMA Number: _________________________
Date of Purchase: ________________________________
Company Name: ________________________________
Contact Person: ________________________________
Address: ________________________________
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Phone Number: ________________________________
Description of Problem: __________________________
_____________________________________________
_____________________________________________
_____________________________________________
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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 product 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 product.
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.