RMA REQUEST FORM
908 Canada Court City of Industry, CA 91748 RMA REQUEST form PLEASE FILL form OUT COMPLETELY RMA #: ........................... DATE REQUEST : ........................... *TECH ID #: ..................... *Dealer Code #: .................. (*Please choose either Tech ID or Dealer Code to fill in.) PURCHASE FROM: .................... ............... YOUR NAME: .............................. YOUR PHONE: ................................. YOUR COMPANY NAME: ........................................ .............................. Hikvision WILL RETUR ITEM(S) TO: YOUR ADDRESS: ........................................ ............................. .................................... ATTN to: ............ .................................... STATE: ....................... ZIP: ..................... YOUR PHONE: ...................................... YOUR FAX.
Rev 10.16.12 (Effective November 1st, 2012) Page 4 RMA Instructions (Quick Guide) Note: Hikvision USA only accepts returned equipment from direct purchasers. Please return your equipment back from where you purchased it from.
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