Return Material Authorization Request

Please complete this form and email to:

Please select the type of RMA you are requesting (one type per request)

Non Quality Return*
NOTE: / Product must still have original factory sealed /
/ unbroken Tamper Proof packaging
RMA credit requires verification if the request is within policy.
Distribution customers, please refer to stock rotation guidelines.
Quality Return or Service

Within product warranty period
Out of warranty period (PO required for Repair)
Advanced Replacement

NOTE: / Please see Table 1 “Product Warranty table” in policy
Advanced Replacement requires a Tech Support Case

* Returned product is subject to a 25% restocking fee if your request comes more than 60 days after the original ship date. Returns for refund or credit beyond 120 days from original shipment date will be denied.

Please select the type of RMA you are requesting (one type per request)

Customer Information:

Company Name
Account Number: / ______
Purchase Order #:
OriginalPurchase#
RMA Contact Name
RMA Contact Email
RMA Contact Phone

BillTo Address

Company Name
Address
City, State, Zip

Ship To Address (if different than Bill To)

Company Name
Address
City, State, Zip

Yes! I would like a FedEx shipping label pick up for my RMA Warranty Repair

Please note that if your return is found to be out of warranty you will be charged for this shipping label

No! I will provide my own form of shipment.

Number of labels needed _____

Bill to Address
Ship to Address

Please attach the Return Address provided with the RMA acknowledgement to the outside of the box and include a detailed description of the problem inside the box.

PLEASE NOTE: A standard repair cost of $100* per unit may be applied if your product is out of warranty. If the repair cost is estimated to be greater than $100*, we will contact you prior to making the repairs. Before the Request number is issued, we will need a PO for $100* per unit to cover the repair cost. If the cost is less than $100*, we will charge you only the actual cost of repair.

*Video Product Line estimated charge per unit is $250.

Part number

/ S/N / Quantity
Detailed Description of Problem:
Tech Support Case # :

Part number