| I. Please provide us information about the products you wish to return. |
| RMA Type: |
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| Product Type: |
(Note: Only 1 product type per RMA Form)
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| If other, please specify: |
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Serial
Numbers:
Click here for information on
the proper format of serial numbers and how to identify the serial number of
your product.
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| P.O. Number: |
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| Sales Order Number: |
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| BiTMICRO Sales Representative (Full Name): |
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| II. Enter your
Company Information: |
| Company Name: |
[
? ]
|
| Return Shipping Address: |
[
? ]
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| |
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| City: |
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| State or Province: |
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| Country: |
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| ZIP Code: |
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| Contact Person (Full Name): |
[
? ]
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| E-mail Address: |
[
? ]
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| Telephone Number: |
[
? ]
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| III. How
do you want your RMA units returned?
[ ? ]
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| Shipping
Carrier: |
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If other, please specify:
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| Type of Service: |
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If other, please specify:
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| Shipping Account Number: |
[
? ] |
| IV. Return Information |
| Reason for return: |
[
? ]
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Complete description of reason for return:
[ ? ]
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