beautypg.com

Appendix b, Terms and conditions, Rma service request form – Lanner VES-500 User Manual

Page 21

background image

21

Terms and Conditions

Appendix B

Embedded and Industrial Computing

RMA Service Request Form

When requesting RMA service, please fill out the following form. Without
this form enclosed, your RMA cannot be processed.

RMA No:

Reasons to Return: Ŀ Repair(Please include failure details)
Ŀ Testing Purpose

Company:

Contact Person:

Phone No.

Purchased Date:

Fax No.:

Applied Date:

Return Shipping Address:
Shipping by: Ŀ Air Freight Ŀ Sea Ŀ Express

___

Ŀ Others:________________

Item

Model Name Serial Number

Configuration

Item

Problem Code Failure Status

*Problem Code:
01:D.O.A.
02: Second Time
R.M.A.
03: CMOS Data Lost
04: FDC Fail
05: HDC Fail
06: Bad Slot

07: BIOS Problem
08: Keyboard Controller Fail
09: Cache RMA Problem
10: Memory Socket Bad
11: Hang Up Software
12: Out Look Damage


13: SCSI
14: LPT Port
15: PS2
16: LAN
17: COM Port
18: Watchdog Timer


19: DIO
20: Buzzer
21: Shut Down
22: Panel Fail
23: CRT Fail
24: Others (Pls specify)

Request Party

Confirmed By Supplier

Authorized Signature / Date

Authorized Signature / Date