Apantac RMA

Warranty Return RMA Request Form

Contact Information:

Name:

Company:

Contact Email:

Email CC:

Telephone:

Full Shipping Address:

Please enter the full address.
As you want it to appear on the shipping label.

Company Name
Attention To:
Full Street Address
Suite or Apt. Number
City, State Postal-code
Country

Purchase Information:

Reseller:

PO, SO, or Ref #'s:

Purchase Date:

Product Being Returned:

Reason for Return:

Repair of Equipment.
Return of Demo/Loaned Equipment.
Refund (See Notes below.)

Serial Numbers:

Fault Description:

additional comments

Comments:

Verification:

Notes

REFUNDS:

Must be within 45 days of purchase.
Restocking fees may apply.
Refunds can only be approved for units purchased directly from Apantac. If you purchased from a different supplier or dealer please contct them for refunds.

Your RMA request has been submitted.

Some issues result from setup or configuration misunderstandings. You may be contacted by Technical Support to assist you in resolving your problems without the need to return your device.

Advanced replacement or temporary loaner equipment is only provided under certain circumstances. Before such equipment can be sent a purchase order and/or sales order must be generated. In accepting an advanced replacement or loaner you agree to pay for the unit if neither the loaner or original device is returned to us.

RMA Requests are not automatically generated by computer, they are processed by our employees. When processed, an RMA number will be emailed to you.

- Technical Support Department, APANTAC LLC

Contact info:

Please provide us contact information of the person most responsible for this equipment or RMA request processing.

Additional Email addresses can be included by using a semicolon to seperate them.
example: engineer@company.com ; sales@company.com ; support@company.com

Shipping Address:

Please provide your COMPLETE shipping address as you wish it to appear on the label. This is the address to which we will ship your repaired unit or replacement upon completion of repairs. Any mistakes or missing information may result in your replacements being delayed.

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Serial Numbers:

Please include all serial numbers being returned. Apantac serial numbers include the model. Serial numbers can be located on silver labels attached to the outside of the equipment. Examples of serial numbers:

HDMI-1-R(US)-173245001
DA-SDI-HDTV-US-171020010
KVM-SET-10(US)-RH-180112028
Mi-16(US)-6N-171201002
LE-16HD-120413A04

Fault Description:

Fully describe the issue, fault, and/or observed symptoms. Please be as detailed as possible to assist our repair technicians. If returning a demonstration unit or a returning a newly purchased item for refund, indicate 'Demo Return' or 'Return for Refund'.

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