Please use this form to submit your request for return
material authorization to Cannon Technologies.
Fields marked with a red asterisk *
indicate required fields.
| Customer
Information |
*First
Name: |
|
*Last
Name: |
|
Title: |
|
*Company
Name: |
|
*Address: |
|
Address 2: |
|
*City: |
|
*State/Province: |
|
*Postal
Code: |
|
*Country: |
|
*Phone
#: |
|
Fax #: |
|
*E-mail
Address: |
|
Date: |
|
| Product
Information |
Is the product located at an address other than
the one provided above?
If so please enter the contact name and location here: |
|
|
Original Cannon Sales Order or Customer
Purchase Order: |
|
|
|
*Product
Affected: |
(Select the affected product from the
drop-down list.)
 Select
the type of affected product from this drop-down list.
|
Other Product (Not Listed): |
If
the product being submitted for RMA is not in the Product Affected
list, enter the affected product in this text box. |
| *Part
Affected: |
(Select the part that most closely
matches the affeted part.
To select multiple parts, hold down the Ctrl key)
After
selecting a product type from the Product Affected drop-down list,
select the part that most closely matches the affected part from
this list. |
Other Part (Not Listed): |
If
a close match for the part that is being submitted for RMA can not
be found in the Part Affected list, enter the affected part and
style number in this text box. |
*Quantity
Affected: |
Enter
the total number of parts that are being submitted for RMA in this
text box. |
(Optional) Attach a file with serial number(s)
and problem(s) or additional info (doc, xls, pdf): |
To
attach a file, click the Browse button, navigate go to the directory
where the file is located, and click Open.
The submitted file must be less than 2 MB. To submit multiple files,
combine them in a ZIP file. |
*Serial
Number(s):
(Use Address for
Retrofit Kits Only) |
Enter as shown below:
(1) Serial Number 1
(2) Serial Number 2
(3) Serial Number 3
etc.
(If serial numbers of the affected part(s) are included in an
attachment,
enter "See Attachment" above.) |
*Description
of problem(s): |
Enter as shown below:
(1) Problem for Serial Number 1
(2) Problem for Serial Number 2
(3) Problem for Serial Number 3
etc.
(If problems of the affected part(s) are included in an attachment,
enter "See Attachment" above)
|
| Date of Installation: |
(enter as 03/01/2008) |
Date of problem or discovery of issue: |
(enter as 03/01/2008) |
| Is this the first notification
of this request? |
Yes
No - Notification Date:
(enter as 03/01/2008) |
|
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| |
|
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| IMPORTANT By submitting
this form, you agree to the following terms:
Special Instructions/Additional Notes:
|
