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RMA REQUEST

Return Material Authorization Form
 
Asset Details
 *
Product Description
Model Name
 *
Model Number
 *
Serial Number
 *
Error Description
 
 
Company Details
 *
Company Name
 *
(Street, House-, Foor-, and Room Number)
Company Adress
 *
Postal Code
 *
City
 *
Country
 *
Phone
 
Fax
 
 
Contact Person who is responsible for this RMA process
 *
First Name
 *
Last Name
 *
Position
 *
E-Mail
 *
Phone
 *
Mobile Phone
 
E-Mail Adress for enquiry calls (technical)
 *
E-Mail Adress
 
 
Adress for Pickup Service:
The pickup will occure on this site - so please fill-out this form completely, that our logistic provider is able to make the pickup just in time. Take care that your shipment has a secure packaging for transport.

 *
Adress for Pickup
(Steet, House-, Floor-, and Room Number,
Contact Person)
 *
Postal Code
 *
City
 *
Country
 *
Collection Point where the pickup should occure
(i.e.: reception,
warehouse etc.)
 *
Your Office hours
 
 
Adress for Return Service:
Fill out this form only, if the adress is different from the Pickup Adress


 
Return Adress (Street, House-, Floor-, and Room Number
contact person)
 
Postal Code
 
City
 
Country
 
Collection Point where the return shipment should occure
(i.e.: reception,
warehouse,...)
 
Your Office hours
 
 
*) This field is mandatory

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