RMA (Returned Material Authorization) FORM

Support Contact Information: (or use our e-mail form):

OTEK Corporation       Phone:      +1-520-748-7900
4016 E. Tennessee St.       Toll-free:   +1-877-227-6835
Tucson, AZ 85714 USA       Fax:          +1-520-790-2808
TO BE FILLED OUT BY CUSTOMER (*Required Field):

Every RMA request begins with talking to an Engineer to make sure the product can't be fixed over the phone: 1-877-227-6835
If the product needs to be shipped to OTEK for repairs our Engineering staff will assign you an RMA#:

OTEK-assigned RMA#*

CONTACT DETAILS
(Company's Contact/Representative):

Contact Name*:

Contact Email*:

Contact's Ph*:

Fax#:

SHIPPING ADDRESS FOR RETURNED ITEM
(This is where we will ship your repaired item):

Company Name*:

Address*:

City*: State*:

Zip*:

Shipped Via*:

Shipping Account Number:

BILLING ADDRESS
(If differet than Shipping address above):

Company Name:

Address:

City* State:

Zip:

 

Please read our

Terms and Conditions

concerning the returning of goods


OTEK ITEM INFORMATION (PLEASE BE AS DETAILED AS POSSIBLE):

Model Number* Serial Number*
Model Number   Serial Number  
Model Number   Serial Number  
Model Number   Serial Number  
Model Number   Serial Number  

Symptoms/Requests (Customer's reason for return)*:
Please include 'detailed' information relating to what occured before, during and after product failure:

Schematic/Wiring Diagram of Unit Hookup (Highly Recommended):

Other Support Document:
 

 

Please read our Terms and Conditions concerning the returning of goods