Training Guide Course No. 196514
Level 2 Maintenance, X-1000 Series Dispensing Systems 4-4 P/N 196515 (Revision A)
Diagram Sheet 4-1-2
Return Material Authorization (RMA) Form
Date:
RMA Type:
Originated By:
Ship To:
Customer:
Address:
Address:
Address:
Country:
Contact:
Phone:
Ship VIA Acct#
PO#
Cust Ref
System Information:
Model: SN:
Failure Symptom:
Parts Returning:
Qty Part# Description SN FPA?
Parts Shipping to Customer:
Qty Part# Description SN
COMMENTS:
4 RMA Type Legend
RW = Warranty Replace Part
RN = Non-warranty Replace Part
FW = Warranty Repair
FN = Non-Warranty Repair
CC = Credit Return
Internal Use Only
Return Material Authorization