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Please print & fax this form to us Company Name: Phone #: Address: Fax #: Contact Person : Invoice: Date : Qty Item Description Problem Comments REPLACEMENT OR CREDIT OR CREDIT When requesting a RMA#, the invoice copies and above information are necessary by our RMA Dept. RMA# will be expired after two weeks from the date issued. No trouble found products will be returned by freight collect. The removal of any trademark or serial numbers on any product will cause the product to be refused. Purchased From:   Date Of Purchased: