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RMA Request Form

Please fill out the following form. Once this form is received by LA Micro Group, an RMA Number and instructions will be sent back to the Email/Fax Num provided.

When you have completed filling out your information click the Submit Request button located at the bottom of the form.

If you have any difficulties with posting online form, please feel free to send us RMA request by email or fax.
Email version of the document: LAMG_RMA-E.doc
Fax version of the document: LAMG_RMA.doc

Note that RMA request will not be processed without correct Part Number and Serial Number.

Fields marked with an * are required.

Contact* Company Phone* Fax Email*		Address* City* State ZIP(Postal)* Country*
Qty* Part Number* Description* Serial Number* Invoice / PO* Unit 1 Unit 2 Unit 3 Note: If you have more than 3 units feel free to use this form more than once or you can send us RMA request by email or fax.

Problem:*

Shipping issue or non-working part.

Evidence of internal or external package damage.

If so, was carrier notified? [Is carrier arranged by LA Micro or Customer? ]

For freight claims, please preserve packaging materials and submit photos.

RMA TYPE:*

REPLACEMENT
WRONG PART
REPAIR
CREDIT

TERMS:

1: RMA# must be clearly marked on outside of box and a copy of this form included.

2: If LA Micro Group ships a replacement part under this agreement and the customer fails
to return the problematic part within 15 days, the customer will pay the market value of the part.

3: Should the returned part be found to be in working condition/the mistake of the customer,
the customer has the option of either having it returned to them, or a refund, minus 20% Restock fee.

I, the undersigned, agree to the terms of this transaction and acknowledge that all information
in this form is correct to the best of my knowledge.

Name:*

Date: 7/25/2008

-- Please email a tracking number to RMA(at)LAMicroGroup(dot)com when available. --

LA MICRO GROUP		Phone: 818-932-9900	Fax: 818-936-0644
www.lamicrogroup.com		6011 VARIEL AVE. WOODLAND HILLS, CA 91367

2004-2008 Copyright by LA Micro Group, Inc.

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