KEY TECHNOLOGY(CHINA)LIMITED

Support

RMA

Customer Information

*Company Name:

*First Name:

*Last Name:

*Address1:

Address2:

*City:

*Zip/Postal Code:

*Country:

*Phone Number:

*Email Address:

Returned Merchandise Information

*Product Description:

*Quantity:

*Serial Number(s):

*Part Number(s):

*Discrepancy:

To help us complete your repair in a timely manner, please be as detailed as possible when describing the discrepancy.

Original P.O. Number:

Date of Purchase:

Shipping Information

*Shipping Information:

	Same as Above
	Different If different shipping information, please complete the following:

Company Name:

Attention:

Address1:

Address2:

City:

Zip/Postal Code:

Country:

Phone Number:

Email Address: