Datasheet

Service/Warranty
DATALOGIC SCANNING, INC.
RETURN MATERIAL AUTHORIZATION REQUEST
Billing Customer Number (if known):
COMPANY NAME / ADDRESS
(Requesting / Billing Party)
Re
q
uestor’s name: Re
q
uestor’s name:
Re
q
uestor’s email address:
Telephone:
Fax Number
:
Other:
Additional information:Additional email notification:
Contract Number:
Payment Method: (check one)
Cash In Advance Credit Card
PO # (terms established) COD
REQUIRED SCANNER INFORMATION
Model# or Part #
Serial#
MFG Date
1
2
3
4
5
6
7
8
9
10
Shipping Instructions:
1) Please return equipment in original boxes if possible.
2) Attach a copy of this form as the packing slip.
3) Ship to:
Attn: RMA#
DATALOGIC SCANNING, INC.
959 Terry Street
Eugene, OR 97402-9150
Phone: [phone] x 8283
Fax: [phone]
3/19/2007 C
Reason for return
Check return freight method for Non-warranty repairs:
UPS Ground 2- DAY
FEDEX 3-DAY OVERNIGHT
No Service Contract Currently Exists:
Please Contact Requestor With Contract Options
Please Do Not Contact Requestor At This Time
Check Contract Type: Quick Replacement (QRP)
Extended WTY Factory WTY
Non- WTY Demo Return
Tele
p
hone:
COMPANY NAME / ADDRESS
(Ship To Party)
Shipping Customer Number (if different):
Item
Q
uantit
y
Scanne
r
Cable
(
s
)
Batter
y(
s
)
Base Station
(
s
)
Other
(
describe
)
Check items being sent in:
Visit www.scanning.datalogic.com for current information.
Note: All prices shown here are list prices in U.S. dollars. Please check with your local oce for all other pricing.
RoHS (Restriction of Hazardous Substances) Part numbers are compliant for shipment to European Union (EU) countries.
R40-0200 P 0609 Page – 71