Forms - A-Tech Inc.

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Forms - A-Tech Inc.

800.225.6102

1Company Information

2Product Information

3RMA Detail

First Name*
Last Name*
Name of business*
Email*
Phone number*

Part #*
Quantity*
Part #
Quantity
Part #
Quantity
Original PO #
Date Code
If repair is not feasible or credit cannot be give*
- Scrap at Factory
- Ship back to customer

Return Type*
- Repair
- Replace
- Return for Credit
Reason for Return*
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.