RMA Service Request Form

When requesting RMA service, please fill out this RMA Service Request Form.

Without this form your RMA will be REJECTED!!!

RMA No:

Reasons to Return: □ Repair(Please include failure details) □ Testing Purpose

Company:

 

Contact Person:

Phone No.

 

Purchased Date:

Fax No.:

 

Applied Date:

Return Shipping Address:

 

 

 

 

 

Shipping by: □ Air Freight □ Sea

□ Express

 

□ Others:

 

 

 

 

 

 

Item

Model Name

Serial Number

Configuration

Item

Problem Code

Failure Status

*Problem Code:

 

 

 

 

01:D.O.A.

07: BIOS Problem

13: SCSI

19: DIO

02: Second Time R.M.A.

08: Keyboard Controller Fail

14: LPT Port

20: Buzzer

03: CMOS Data Lost

09: Cache RMA Problem

15: PS2

21: Shut Down

04: FDC Fail

10: Memory Socket Bad

16: LAN

22: Panel Fail

05: HDC Fail

11: Hang Up Software

17: COM Port

23: CRT Fail

06: Bad Slot

12: Out Look Damage

18: Watchdog Timer

24: Others (Pls

 

Request Party

 

 

Confirmed By Supplier

specify)

 

 

 

 

 

 

 

 

Authorized Signatures / Date

 

Authorized Signatures / Date

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Lanner electronic FW-6420 manual RMA Service Request Form, Authorized Signatures / Date