Rma Form - Martel
ADVERTISEMENT
1
2Return Material Authorization Form
Please fill out the following to the dashed line. Keep a copy for your records and include a copy with the shipment.
We do not issue or require RMA #s.
Your company information (please complete in black ink and print legibly):
Company Name:
_____________________________
Contact:
__________________________
Ship to Address:
_____________________________
Phone:
__________________________
_____________________________
Fax:
__________________________
_____________________________
Email:
__________________________
Bill to Address:
_____________________________
Ship to me by (if other than ground shipment)
_____________________________
____________________________________
Form of Payment: PO# ___________ or
Credit card #: __________________________ Expires: ______
(REQUIRED)
3 Digits on back of card: _______ (Visa, MasterCard & American Express)
Please see pricing on following page. If you are not sure, please call us. Thank you.
I authorize this payment in the amount of $_________ for recalibration only.
I authorize repair if needed in the amount of $_________.
Customer signature (required): _______________________________
NOTE: Blown fuses are NOT covered by warranty. Units with blown fuses will incur a $100.00
service charge. If you are uncertain, please contact us for more information.
Please do NOT include fittings, test leads, accessories or loose parts with your return.
Martel cannot be responsible for lost items.
Returned Product Information
Model: ________________ Serial Number: ________________ (use additional sheets for multiple items)
Description of problem: (IMPORTANT, provide as much information as possible to avoid any delay).
________________________________________________________________
________________________________________________________________
________________________________________________________________
WOULD YOU LIKE INFORMATION ON OUR LATEST PRODUCTS?
DO NOT WRITE BELOW THIS LINE–MARTEL USE ONLY
SO#: ___________
Shipping Address: Martel Electronics
Ship freight prepaid to this
3 Corporate Park Drive, Unit 1
address using a method of shipping
Derry, NH 03038
that can be tracked. DO NOT USE
st
NORMAL 1
CLASS MAIL.
Please call 1-800-821-0023 or 1-603-434-1433 (9am-5pm) US Eastern Time or email if you
have any questions.
S:\RMA's\RMAFORM-R13.01.07.doc
Page 18
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life