2. PRODUCT INFORMATION
Which product are you sending to us for service?
Model Number:
Product Serial Number:
________
Where did you purchase this product?
-
Purchase Date: Year
- Month
is your product covered under warranty?
Yes
No
Please provide below the details of the problem with your product. You may enclose added pages if necessary.
Have you previously requested technical support from us concerning the above issue?
Yes
No
3. PACKAGING INFORMATION
Prior to sending your product to us for service or repair, please make sure that the product is appropriately packaged. Upon completion of repair, your product will be returned to you in the same packaging.
We are not responsible for damage during shipping or transportation.
We recommend that you do not send any accessories with your product unless the accessories require service or repair.
Is your product being sent to us with any accessories?
Yes
No --if Yes, please provide a detailed List of all accessories below.
Accessory #1
Accessory #2
Accessory #3
Accessory #4
Accessory #5
Accessory #6
4. Return Information
Upon completion of repair or service, where would you like your production shipped to?
Please ship my product to the address provided in Section 1. Above
DO NOT ship my product to the address in Section 1. Please ship my product to the following address.
First Name:
Last Name:
Company Name:
----
Street Address:
City:
State:
Zip/Postal Code:
5. BILLING AGREEMENT
There is a $35.00 diagnostic and handling fee for all products sent to our service center for repair or service. This fee applies to all products, regardless of their warranty status.
Products Under Warranty
The $35.00 diagnostic and handling fee applies to products covered under warranty. If your product is covered under warranty, the labor and material is included free of charge and you will not be charged for it. Please note that YOUR CREDIT CARD WILL NOT BE CHARGED until we receive the product.
Products NOT Under Warranty
If the product is not under warranty labor will be charged at the rate of $75.00 per hour, in addition to cost of any parts, accessories or material used for repair and/or service. For item not under warranty, we will provide you with written estimate of repair costs prior to commencement of service or repair. Please note that YOUR CREDIT CARD WILL NOT BE CHARGED until we receive the product.
Please choose a method of payment:
Personal Check
Money Order/Cashier's Check
Credit Card
Name on the Credit card
Billing Address for Credit Card
Street Address:
City:
State:
Zip/Postal Code:
Credit Card Number :
Expiration: Year
- Month
Security Code:
The undersigned hereby certifies that he/she is the authorized user of the above credit card and hereby authorizes Ramsond Corporation to charge the amount of $35.00 to the provided credit card.
____________________________________
Signature
6. Return Shipping Fees
The shipping fees associated with returned the repaired and serviced products is the responsibility of the customer. You may included a return, prepaid label with your product, or we can ship the product to you at your expense. Please indicate below the manner by which you desire the repaired/service product to be returned to you.
I have included a return shipping label
Please charge my credit card for shipping fees for returning the repaired product.
7. CHECKLIST
I have fully completed this form.
I have printed a copy of this form.
I have signed the credit card authorization (for credit card payments only).
I have placed a completed copy of this form inside the packaging.
FOR WARRANTY SERVICE ONLY - I have enclosed a copy of my proof of purchase (invoice, credit card receipt, etc.) inside the packaging.
I have included a return shipping label OR I have authorized my credit card to be charged for return shipping fees to me.
My packaging is safe and strong.
I have kept a record of the tracking number
Please allow up to 30 days from the date we recieve your product to complete the service or repair. Upon completion of the repairs we will immediately ship the product back to the address you have provided. All repair and/or service performed.
After Printing the page please click on 'Submit' below. Clicking submit will transmit your information through our secure server. All information shall be kept secure and confidential. Submitting this information will allow us to expect the arrival of your package. Your credit card will not be charged until we recieve your package.
Have you printed this page? if yes, then
. If you submit before printing, your information will be deleted.
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FOR INTERNAL USE ONLY
(DO NOT COMPLETE THIS SECTION)
Inventroy Tag #:
-- Receipt Date:
---- By::
-----
CS NotificationDate
-------- Dx Date:
Dx
Notes
