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Request for RMA form

  • Company Name:
  • Email Address:

  • Contact Person:
  • BE Networks Contact:
  • Phone Number
  • Ext.

Purchase Order#:

  • Product(s) Description 1
  • Serial No. 1
  • Manufacturer Part No. 1
  • Condition. 1
  • Product(s) Description 2
  • Serial No. 2
  • Manufacturer Part No. 2
  • Condition. 2
  • Product(s) Description 3
  • Serial No. 3
  • Manufacturer Part No. 3
  • Condition. 3
  • Product(s) Description 4
  • Serial No. 4
  • Manufacturer Part No. 4
  • Condition. 4
  • Product(s) Description 5
  • Serial No. 5
  • Manufacturer Part No. 5
  • Condition. 5
  • Reason :

  • RMA Type :

Additional Information:

1. Is this RMA Request due to a possible shipping issue?
 Yes No

2. Is there evidence of internal or external package damage?
 Yes No

3. If so, was carrier (BE Networks or customer arranged) notified?
 Yes No