Hci Return Merchandise Authorization (Rma) Request Form printable pdf download

Hci Return Merchandise Authorization (Rma) Request Form

Return Merchandise Authorization (RMA) Request Form

Please call 800‐783‐8105 option 1 to speak with an experienced member of our technical service team; many

problems can be troubleshot simply over the telephone.

If your product is out of warranty, a Purchase Order or Credit Card is required to proceed with service.

HCI will contact you with an estimate for repairs. Any products left over 30 days without approval will be returned

“as is” at customer expense.

Did you Contact Tech Support? YES NO Technician: _______________

RMA Request Date: ________________

BILL TO:

RETURN/SHIP TO:

Name:

Phone #:

Name of Facility:

E‐mail (to send RMA):

E‐mail:

Address:

City/State/Zip:

City/ State/Zip:

Attn:

Accounts Payable

Email/Phone:

Name:

QTY

HCI MODEL # SERIAL #

ISSUE

For out‐of‐warranty products, the following additional information is needed

Purchase Order#

If paying by credit card, please complete HCI’s credit card authorization form.

E‐mail RMA form to myrajimison@hci‐tv.com or fax to 513‐271‐8108

To be completed by HCI

Warranty date:

RMA #

INV #

COMMENTS

113 Commerce Drive, Loveland, OH 45140

Hci Return Merchandise Authorization (Rma) Request Form