FIRST PRINT
OUT THIS FORM. COMPLETELY FILL OUT AND SIGN.
FAX FORM
BACK TO US AT THIS NUMBER: 408-327-0113 TO OBTAIN RMA #
MERCHANDISE WILL NOT BE ACCEPTED WITHOUT AN RMA
NUMBER.
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INFORMATION
IN BOX BELOW WILL BE SUPPLIED BY SURPLUSCOMPUTERS.COM |
RMA#: ________________________ Date RMA# issued: _______________ RMA# Issued by ___________________
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THESE BOXES BELOW MUST BE FILLED OUT
COMPLETELY BY CUSTOMER OR RMA WILL NOT BE PROCESSED |
Customer Name: ___________________________ Customer Number: _____________ Invoice #: ______________
Person to Contact: ______________________ Daytime Telephone # ____________Evening Telephone #:________
(Please attach a copy of your invoice)
Fax Number:___________________________ E-MAIL ADDRESS: ________________________________
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ITEM:
(example: ACC10015, 2 Button Mouse)
___________________________________________
___________________________________________
___________________________________________
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QUANTITY RETURNED:
(example: 2)
________________
________________
________________
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SERIAL NUMBER (s):
(example: 71184AW-98)
__________________
__________________
__________________
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Reason For Return: (Select a letter)
A. Shipment received physical damaged in shipping.
B. Wrong merchandise received.
C. Do not want or ordered wrong product.(20% restocking fee will be applied to refund of product)
D. Defective part. (Please explain below, use additional paper if necessary. State problems encountered, exact
environment problem occurred in, and all steps taken to try to resolve this problem. Include any support test
results, documentation, etc.)
Action Wanted: (Select a letter)
A. Replace with correct merchandise_____
B. Replace with working merchandise_____
C. Advanced Replacement______ Name on Credit Card___________________Credit Card Type______________
Credit Card Number_____________________________________ Expiration Date______________
D. Other_______________________________________________________________________________________
By my signature below, I have read all of Surplus Computers terms and conditions regarding this sale and return, and
agree to be bound by the action taken at Surplus Computers sole discretion. In the event I have provided a credit card
number above for Surplus Computers to charge, my signature below also authorizes any restocking or service fees.
Customer Signature: _________________________________________________
DISCLAIMER:
Any merchandise tested "No Problem Found" will be subject to a 20% service fee & all shipping fees, and will be returned
to the customer COD or charged to customer's credit card. We strongly recommend you consult with a local technician or
call for consultation before returning any product. Please allow 7 business days for process of any return after our receipt
of your product. All sales are final with exchanges given only for exact product. If the exact product is not available we will
substitute it for a similar product. Please reference your invoice for warranty information on your merchandise.
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