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Return merchandise authorization form rma number – WaveWare Adaptive Serial LED Clock User Manual

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Return Merchandise Authorization Form

RMA Number: _________________________

Date of Purchase: ________________________________
Company Name:

________________________________

Contact Person:

________________________________

Address:

________________________________

________________________________

Phone Number:

________________________________

Description of Problem: __________________________

_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

Return Instructions:

Step 1:

Obtain an RMA number from your dealer/distributor.

Step 2:

Fill out this form and include proof of purchase receipt if product is under warranty.

Step 3:

Pack this form and the product in the original carton (or a suitable replacement). Please write
the RMA number on the outside of the package. Any damage to the product during shipment
is the responsibility of the freight company or the owner of the product.

Step 4:

Ship the package, postage/shipping prepaid to:

Adaptive Micro Systems, Inc.
Attn: RMA No. ___________
7840 North 86th Street
Milwaukee, WI 53224

PLEASE WRITE THE RMA NUMBER ON THE LABEL OF THE SHIPPING BOX - THANK YOU.