RMA Form Test - Accutech

If you have already requested a quote from us, you do not need to complete this form. Simply send your item in with the quote we sent you.

Client Information

Customer #

PO #

* Email

* Company

* Name

* Phone

Billing Address

* Address

* City

Province* Province

* Postal Code

Shipping Address

* Address

* City

Province* Province

* Postal Code

Preferred Courier* Preferred Courier

Courier Account #

Equipment Information

* Brand

* Model

* Serial #

* Select Service RequiredSelect Service Required

Comments

VIP Next On Bench Service!
Cost: $95 extra/product
*Not applicable on repairs. On some very rare occasions, this option will not be available. You will be notified.

Required: Mark the shipping box with VIP