eMDee Technology, Inc. - Online RMA Form

Please complete one RMA form for each item being returned. You may return multiple items with the same RMA form if all items are being returned for the same defect/repair.

* = required field

Requested By

Name :	*
Company :
Email Address :	*
Phone :

Requestor Shipping Address

This is the address where the repaired item will be shipped back. Please be sure that this is a valid UPS/FedEx shipping address within North America. If you require shipping outside North America, please contact us.

Address (line 1) :
Address (line 2) :
Address (line 3) :
City :
State/Province :
Zip/Postal Code :
Country :

Returned Item Information

eMDee Part Number :	*
Serial Number(s) :
Reason for Return :

Quote for Repair Charges

If the item being returned has been damaged or is not covered under warranty, repair charges may apply. After we inspect the item, we will submit a quotation for repair costs before beginning any repair work. In the spaces below, enter the information for the person that should receive the quotation.

Name :
Email Address :