Rugged LCD and Industrial Computer Workstation Solutions for Highly Demanding Applications

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RMA Request Form

To facilitate our ability to service units needing evaluation or repair, please read the following instructions and fill in the appropriate information. An RMA number will be assigned and you will be notified via phone or fax.

A representative will call or email you within 24 hours of submitting this form.

Your Name *Required Street Address
E-mail Address *Required City
Company *Required State
Job Title    Postal / Zip Code
Phone Number *Required Country
Fax Number    

Product Information    
Model# Serial#
Make Purchase Order #
Contact by E-mail Telephone    
Please describe the problem: Anything else we can help with?