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    Industrial Computers Inc. Return Material Authorization (RMA) Form

    Instructions:

    1. Please complete this form to return product/material back to Industrial Computers Inc.
       
    2. Once this form is submitted you will receive an acknowledgment via email that we have received your request and are processing your request.
       
    3. A second email will follow within 24 business hours with your RMA# and detailed instructions including our return address.

    If you would prefer to Fax this document to us, please click below to open a printable version of this page.

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    Customer Contact Information


     
    Company Name
    Contact Name
    Address
    City

    State/Province
    ZIP/Postal

    Country
    Phone

    Extension
    Fax
    Email
     
    Product Details and Information

    Important Note About Computer RMAs:
    When returning computers please backup your data for each unit. Packaging should be equivalent to that which was used to originally ship the item. Improper packaging may result in shipping damage not covered by the carrier.


    Item #1
     
    MODEL #
    SERIAL #
    Describe problems/failure in detail. (Supply any logon's or passwords if applicable)

    Item #2
     
    MODEL #
    SERIAL #
    Describe problems/failure in detail. (Supply any logon's or passwords if applicable)

    Item #3
     
    MODEL #
    SERIAL #
    Describe problems/failure in detail. (Supply any logon's or passwords if applicable)

    Item #4
     
    MODEL #
    SERIAL #
    Describe problems/failure in detail. (Supply any logon's or passwords if applicable)

    Item #5
     
    MODEL #
    SERIAL #
    Describe problems/failure in detail. (Supply any logon's or passwords if applicable)

    Item #6
     
    MODEL #
    SERIAL #
    Describe problems/failure in detail. (Supply any logon's or passwords if applicable)


      (Please allow up to 24 Business hours for processing)