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Pinnaclemicro.com Repairs by Fax
Before shipping us a drive
for repair, please fill out the following form as completely as
possible and then fax it back to us at .
Once we get
it, we will issue you a repair authorization number RMA# for
tracking purposes , put it on the form and fax it back to you.
RMA Form
Pinnaclemicro
http://www.pinnaclemicro.com |
Email Address
?__________________________________ How did you find us ?__________________________
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DATE:_______________________
RMA#:__________________ INVOICE#:_________________________________
BILL TO:Company:_____________________________________CONTACT:__________________________________
Street Address:
____________________________________________________________________________________
City, State, Zip:_____________________________________________________________________________________
SHIP TO:Company:_________________________________CONTACT:_________________________________
Street address:_________________________________________________________________________________
City, State, Zip:
________________________________________________________________________________
Buyer Contact:_____________________Phone#:________________ext.________Fax#:____________________
Technical Contact:________________Phone#:__________________ext._______Fax#:_____________________
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Serial Number |
Problem |
OS-B/U Software |
Amount |
Warranty |
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Warranty Repair:_______Paid Repair:______
Bench Fee:_______________ Turn Around:______________________
Terms:_______ Credit Card#:___________________________Exp:_____Holder
Name:_________________________
Shipping: IN_______OUT_________________ Shipping Cost:________
Ins:________ COD:_______ Total:________
PO#__________________Laser not included:______
COMMENTS:__________________________________________________________
____________________________________________________________________
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