Organization/Company * :

Submitted by * :

Phone * :

Email * :

Customer PO required for return? * :

Yes No

Existing PO:

Should your company require a PO to complete the RMA process, please forward PO to salesteam@vadatech.com.

New PO will be issued?

Yes No

PO:

Has the reported issue been handled by VadaTech support team * ?

Yes No

If yes please include Support Ticket #, or support subject line reference :

VadaTech Part # * :

Customer Part # * :

Attention To * :

Serial Numbers * :

Return Customer Contact * :

Return Address Line 1 * :

Return Address Line 2 :

City * :

State * :

Zip Code * :

Country :

** Note that upon completion of RMA’s, return shipment are via UPS Ground within continental US. For International shipments, or if customer requires expedited shipment, customers are requested to furnish shipping method and shipping account number.

** Shipping Method:

** Shipping Acct #: