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Service, Support and Warranty
RMA Request Form
Instructions: Obtain authorization before sending the unit to Optelian. Please submit one form per unit
Company Name
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Contact Name (*)
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Please enter your email address (*)
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Telephone # (*)
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Fax #
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Are you the primary technical contact?
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If the answer is no above, please enter the Technical Contact in the fields below.
Technical Contact Name
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Optelian Part ID
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Part Description
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Serial # (*)
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Your Original PO #
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Optelian Sales Order #
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Reason For Return
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Once you are satisfied with the information above, please attach any files you can relating to your request i.e. documents, diagrams, itemized listing of failure symptoms.
File to Upload
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File to Upload
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Enter the characters in black Enter the characters in black
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Contact Info
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