RMA REQUEST FORM

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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.

Rev 10.16.12 (Effective November 1st, 2012) Page 1 HIKVISION USA RMA POLICY Document Purpose and Scope: This document addresses return policies applicable to the products purchased by customers of Hikvision USA ("Customers") that are returned to

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