ASSOCIATED INDUSTRIES CHINA, INC.

RMA Request Form

A. Contact Data

Sales Person contact in AG Neovo / Request Date
(dd/mm/yy)
Company / E-mail
Contact Person / Tel No
Contact Address / Fax No
Ship-to Address
B. Product Information
Purchase Date / Model / Serial No.

ü  Please pick the box of proper statement that connects to defect cause, also indicate the visible defect and any explanation can help us to find out defect part.

RMA Return Type: / The cause of return, please pick the box (es) below or explain in the “ Explanation of Defect ” box.
□ D.O.A. (Dead On Arrival) Returns
□ Warranty Repair Returns
□ Non Warranty Repair Returns / □ No Power
□ No Image
□  No Sound
□  Power saving NG
□  LCD light inactivates
□ Image Noise
□ Stripe Noise
□ Scrambled Image / □  Image Offset
□  Color NG
□  Red Missing
□  Green Missing
□  Blue Missing
□ Monitor crashed after auto adjustment
□ Others, Please indicate in the following “Defect” box.
Explanation of Defect: (Please indicate the defect as detailed as possible that will enforce this case closed sooner, you may attach the photos to help us to figure out the defect or problem. As precious as possible please. )

Below Is for AG Neovo’s Internal Use Only

AG neovo’s final authorization on management of defective
□ Your DOA Number:
□ Your RMA Number:
Service department representative: Date (dd/mm/yy):

è  Please print out this page with RMA number and stick on rear bezel for AG Neovo Service department to do proper correction and repair.

è  If you have further question please email to Service Department with following attentions and e-mail addresses or fax number 886-2-3393-7407,

Mr. Vernon Lai,