RMA REQUEST FORM

Once approved, an RMA number will be emailed to you. Please refer to our RMA Policy and Procedures for any questions.

Order Information Company Name:   Contact Name:   Email:   Phone:   Customer PO #:  Function5 Invoice #:  Part Number Information Please fill in the part numbers for your RMA request and submit the form.   Part Qty Serial Date Received Reason Reorder 1. Select Reason for Request Failed Under Warranty Product DOA Wrong Part Received Product Damaged Yes No 2. Select Reason for Request Failed Under Warranty Product DOA Wrong Part Received Product Damaged Yes No 3. Select Reason for Request Failed Under Warranty Product DOA Wrong Part Received Product Damaged Yes No PLEASE NOTE: Submitting this form indicates that you accept the terms and conditions of the RMA Polices and Procedures as stated above. Please read these terms carefully before submitting this form. If you do not accept these terms, do not submit the RMA Request.