Request Return Material Authorization (RMA)

First name*

Last name*

Company

Email*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Serial number*

Invoice number*

Product Name*

Purchase Date*

Reason for return*

Detailed problem description

Support ticket number (if applicable)

It is your responsibility to delete all data before shipping the product to RPA Electronic Solutions. RPA Electronic Solutions is not responsible for loss, recovery, or compromise of data that may exist on the returned product.

I confirm that the product does not contain any illegal or confidential data.*

I confirm that the product does not contain any illegal or confidential data.

Name

This field is for validation purposes and should be left unchanged.

RMA Request Form