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RETURN AUTHORIZATION FORM

Technical Support 800-628-9870 Ext 505

$150

$250

$350

PO# ________________________

(Please check pre-approval amount)

PDI WILL CALL FOR APPROVAL IF REPAIR EXCEEDS MARKED AMOUNT. IF PO# OR PRE-APPROVAL AMOUNT

BOX IS NOT COMPLETE, REPAIRS WILL BE DELAYED.

PO# MUST BE INCLUDED ON NON-WARRANTY REPAIRS!

BILL TO :

SHIP TO:

ADDRESS

CITY, ST, ZIP

PHONE

CONTACT

FAX

Yes

Repair

Credit

WAS TECH SUPPORT CONTACTED

REASON FOR RETURN

QTY

PDI MODEL #

SERIAL #

DESCRIPTION OF ISSUE

*ANY TVS LEFT OVER 90 DAYS WITH NO APPROVAL WILL BE RETURNED “AS IS” AT CUSTOMER’S EXPENSE

*INCLUDE A COPY OF THE RMA FORM IN THE BOX AND WRITE RMA NUMBER ON OUTSIDE OF BOX

SHIP TO:

PDi COMMUNICATION SYSTEMS, INC

40 GREENWOOD LN

SPRINGBORO, OH 45066

• PLEASE FAX FORM TO 937-743-9816 OR SUBMIT VIA EMAIL AT

• RMA NUMBER WILL BE RETURNED TO YOU AFTER PROCESSING

ALL SHIPPING DAMAGE MUST BE REPORTED WITHIN 3 WORKING DAYS TO 937-550-2821

RECEIVED

RMA #

Original Author: Helen Dahlgren Date 2/7/14

SAL-723-F6 Version : 6.0

Return Authorization Form