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Customer Service RMA Request
To make an RMA Request, please review the Apptis RMA Policy and fill in the following information and send it to the Apptis Customer Service Department immediately by clicking the "Submit Request" button.  All bold fields are required and your request will not be accepted without this information.


RMA Request Type: Replace Return for Credit
Customer P.O.:
Confirmation No.:
Sales Order No.:
-------------------- Product Data --------------------
Quantity:
Part No.:
Product Description:
Reason for Return:
First Name:
Last Name:
Organization:
Shipping Address:
Shipping Address 2:
Shipping Address 3:
City:
State:
ZIP:
Country:
Phone:
Fax:
Email:
Comments: