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Return Merchandise Form
Return to ACDI Return Policy
RMA Request Form:
In order to obtain a valid RMA number, please use the following request form.
Please fill out separate form for each item to be returned.
*
These fields are required.
Contact Information :
*
E-mail :
*
First Name:
*
Last Name:
Title:
*
Company :
*
Address :
*
City :
*
State:
*
ZIP:
*
Country :
Foreign country listed in City Field
United States
*
Telephone :
Cell:
Fax :
Device Information :
*
Model :
1501SV
1501ES
2001ES
2001ESB
2001ESBC
Copymate 900
Copymate 2500
Copymate SD
Copymate Express
Copymate Express - KPE
EX2000
EX2000B
EX2000S
EX2000SB
EX2000N
EX2000NB
EZTrac
EZVEND-100
EZVEND-200
The Swiper
2015PD
FLC
H10-(Copier Specific)
H20-(Copier Specific)
Other(Specify in Problem Description)
*
Serial Number :
Note: Units without serial numbers will not be accepted.
Purchase Date :
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
*
Warranty :
Yes
Please check the
warranty conditions !
No
*
Problem Description :
(limited to 250 characters!)
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