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.

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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)