| RMA
for a Return: |
Return for Credit
Other - explain
[Explanation
required if Other is selected] |
| Level
of Urgency:High
Medium
Low |
| Contact
Information [fields
in red
are required entries] |
| Company
Name |
|
| Contact
Name |
|
Billing
Address 1
Billing Address 2 |
|
| City |
|
| State |
Zip |
| Telephone |
ext |
| Fax
# |
|
| email |
Please make sure the email address you
entered is 100% accurate!
|
| ITEM
FOR RETURN - #1 |
|
Quantity |
|
|
Manufacturer |
|
| Part
Number or Model Number |
|
| Product
Description |
|
Serial
Number
[or N/A if none] |
|
| Approximate
Date of Purchase |
|
| Your
Original PO# |
|
Invoice
#
[if known] |
|
|
Reason
for
Return
|
If Other is selected, please explain:
|
Note:
Restocking fees will be quoted based on:
- condition of item and use of original
packaging
- manufacturer's return policy
- age of item and date purchased
- marketability of item - stock or
non-stock
Only items purchased from Cross
Automation may be returned for credit
Cross Automation retains the right to refuse return of products 90 days
after invoice date. |
Comments:
|
|
Please
review your data input, then go to the
bottom of this page for form submittal OR proceed with Item #2 |
| ITEM
FOR RETURN - #2 |
|
Quantity |
|
|
Manufacturer |
|
| Part
Number or Model Number |
|
| Product
Description |
|
Serial
Number
[or N/A if none] |
|
| Approximate
Date of Purchase |
|
Your
Original PO#
[if known] |
|
Invoice
#
[if known] |
|
|
Reason
for
Return
|
If Other is selected, please explain:
|
Note:
Restocking fees will be quoted based on:
- condition of item and use of original
packaging
- manufacturer's return policy
- age of item and date purchased
- marketability of item - stock or
non-stock
Only items purchased from Cross
Automation may be returned for credit
Cross Automation retains the right to refuse return of products 90 days
after invoice date. |
|
Please
review your data input, then go to the
bottom of this page for form submittal OR proceed with Item #3 |
| ITEM
FOR RETURN - #3 |
|
Quantity |
|
|
Manufacturer |
|
| Part
Number or Model Number |
|
| Product
Description |
|
Serial
Number
[or N/A if none] |
|
| Approximate
Date of Purchase |
|
Your
Original PO#
[if known] |
|
Invoice
#
[if known] |
|
|
Reason
for
Return
|
If Other is selected, please explain:
|
Note:
Restocking fees will be quoted based on:
- condition of item and use of original
packaging
- manufacturer's return policy
- age of item and date purchased
- marketability of item - stock or
non-stock
Only items purchased from Cross
Automation may be returned for credit
Cross Automation retains the right to refuse return of products 90 days
after invoice date. |