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Return Merchandise Authorization (RMA) Form
RMA Number: ________________________________
Date of Purchase: ________________________________
Company Name: ________________________________
Contact Person: ________________________________
Address: ________________________________
________________________________
Phone Number: ________________________________
Fax Number: ________________________________
Description of Problem: _____________________________
________________________________
________________________________
________________________________
________________________________
Return Instructions
1. Obtain an RMA number from Adaptive Micro Systems at
414-357-2020. Ask for Customer Service.
2. Fill out this form and include proof of purchase receipt if product is
under warranty.
3. Pack this form, the sign, keyboard and transformer 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 sign.
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.
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