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Appendix F
Terms and Conditions
RMA Service Request Form
When requesting RMA service, please fill out the following form.
this form enclosed, your RMA cannot be processed.
Company:
Reasons to Return: Ŀ Repair(Please include failure details)
Ŀ Testing Purpose
Contact Person:
Phone No.
Purchased Date:
Fax No.:
Applied Date:
RMA No:
Return Shipping Address:
Shipping by: Ŀ Air Freight
Ŀ Sea
Ŀ Others:________________
Item
Model Name
Item
Problem Code Failure Status
*Problem Code:
01:D.O.A.
02: Second Time
R.M.A.
03: CMOS Data Lost
04: FDC Fail
05: HDC Fail
06: Bad Slot
Ŀ Express
Serial Number
07:
08:
09:
10:
11:
12:
BIOS Problem
Keyboard Controller Fail
Cache RMA Problem
Memory Socket Bad
Hang Up Software
Out Look Damage
Request Party
Authorized Signature / Date
Embedded and Industrial Computing
Without
___
Configuration
13:
14:
15:
16:
17:
18:
SCSI
LPT Port
PS2
LAN
COM Port
Watchdog Timer
19:
20:
21:
22:
23:
24:
DIO
Buzzer
Shut Down
Panel Fail
CRT Fail
Others (Pls specify)
Confirmed By Supplier
Authorized Signature / Date
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