Up to 4 products can be submitted with this form. If you have more than 4 products, please repeat the process for the additional products.
* ... Indicates required item.

* Qty	* Product	* Serial No.	* Problem Description	Purchase Date

RMA Charges (when applicable):

Repair	In-Warranty	No-charge if defective
	Out-of-Warranty	100% of new
	Return drop-ship to 3rd party	$50 drop-ship fee
Restock	Original unopened package	30% of new
	Opened package	35% of new
	Over 6 months old	35% of new

Purchase Order #
Notes

Please review this form for accuracy. Click the 'Submit RMA' button to send your RMA to Dataforth. If you have not yet signed in, you will have the opporunity to Sign-In or Register so that your contact information will be a part of this RMA submission.