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 number 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.
Please provide as much detailed information as possible. Any missing information can potentially slow down the RMA process.

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

RMA Request Form

"*" indicates required fields

Today's Date*

RMA Type*

Return for Credit

Repair Request

Return for Replacement

Missing Shipment

Damaged Shipment/Freight

Demo Return

Trade-In

Invoice Number*

Note: Credits need to be approved before being processed.

Reason for Return*

Tracking Number/BOL Number*

Original Order Number or PO (if applicable)*

Repair PO # (if required)

Installation Date of Equipment*

Intersection Location*

BILLING ADDRESS

Company Name*

Contact Person*

Contact Email Address*

Additional Email Address (if necessary)

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Please use this phone format: (###) ###-####

Return Address (If Different From Billing)

Is Return Address the Same as Billing Address?

Yes

Company Name*

Return Contact Person*

Return Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Return Phone Number*

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 - Required

Product Description

Serial # - Required

Date Code

Specific Issue (be as detailed as possible)

Attach File

Max. file size: 2 GB.

Attach File

Max. file size: 2 GB.

Attach File

Max. file size: 2 GB.

Attach File

Max. file size: 2 GB.

Attach File

Max. file size: 2 GB.

RMA Request Form

RMA Request Form

BILLING ADDRESS

Return Address (If Different From Billing)

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