Online RMA Request Form
 
 
Company: Model No. :
Contact Name: Part No.:
Telephone: Product Serial Number:
E-Mail: Included Accessories:
Fax: Has it been returned before?
    Is the unit in warranty?
       
Ship to Name :
Bill to Name :
Attention:
Attention:
Street Address :
Street Address :
City:
City:
State:
 Zip
State:
 Zip
       
Preferred Ship Method:    
Problem:

PLEASE NOTE - Units returned during the Warranty period that are found to be problem free will be charged
the minimum evaluation fee, $1,000 for Amplifiers and $350 for controllers.

FOR ALL OUT OF WARRANTY UNITS: Xicom Technology will not proceed with the repair until we have a
purchase order in place.