Return Material Authorisation Form
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1Return Material Authorisation FORM
RMA no:
RMA- ____________
Fill out the number you received from the customer service department
Customer data:
Customer
Country
Contact name
E-mail
Date
Please fill out the table below:
Description- Part number
Serial number
* Other; please specify:
O Repair
Purchase order number customer: ___________________
* In case you want us to start directly with the repair of your part(s). If not filled out, we send a quotation with price and delivery.
O Parts Exchange Services
Purchase order number customer: ___________________
* Your mould part will be inspected and upon approval of our QA-dept. a replacement part will be shipped.
O Warranty
(acc. General terms of Axxicon Moulds Eindhoven)
* In case you already received a replacement, please fill out Axxicon's order confirmation number _________________
* Only with a clear description of the complaint we will take your warranty case in consideration.
Description of complaint:
O Exchange
(Returned part is unused)
In case you already received a replacement, please fill out the order confirmation number __________________
Remarks
After filled in, please send this form to our customer service department.
e-mail:
fax: +31 499 461 361
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