RMA Request Form

To return a product under warranty for refund, replacement or repair, please complete and submit the form below.

Requirements and guidelines:

Upon receipt of this completed request, an RMA authorization form will be issued to you. The RMA authorization form will contain your RMA# which must be included on your shipment. Please include the RMA authorization form with your shipment.
All returned items must be shipped back in original or comparable packaging. (Please do not package with newspaper).
Items being returned for credit (demos, etc.) must arrive in full working order for credit to be issued.
Some returns may be subject to a 25% restocking fee.

Additional terms and conditions apply. See the MoboTrex Inc. Terms & Conditions.

Today's Date * Required
RMA Type * Required
- Return for Credit
- Repair Request
- Return for Replacement
Original PO# (if applicable)
Repair PO # (if required)
BILLING ADDRESS
Customer Name * Required
Contact Person
Contact Email Address * Required
Additional Email Address (if necessary)
Additional Email Address (if necessary)
Additional Email Address (if necessary)
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone * Required
Please use this phone format: (###) ###-####
Return Address (If Different From Billing)
If Different From Billing
- Yes
- No
Receiver's Full Name * Required
Return Contact Person * Required
Return Address * Required
Street Address City State / Province / Region ZIP / Postal Code Country
Return Phone Number * Required
Please use this phone format: (###) ###-####
Return Email Address

Details (Note: add additional product lines by clicking the plus button on the right)

Qty	Part Number	Product Description	Serial #	Date Code	Specific Issue (be as detailed as possible)

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