Extreme Engineering Solutions: RMA Request

RMA Request Form

This form must be used to request Return Material Authorization (RMA). All fields and a complete description of failure information must be provided. A technical support representative will review your information and will be in contact with you shortly.

Customer Information:	Name*:
	E-mail address*:
	Phone:*
	Extension:
	Company Name:*
	Address 1:*
	Address 2:
	City:*
	State/Province:*
	Country:*
	Zip/Postal Code:*
Product Information:	Product*:
	Other:
	Operating System:*
	Product Serial Number:
	Please provide the following failure information consistent with your product: Error messages at time of failure? Is the problem confined to any particular interface or channel? Operating conditions and/or application setup that exhibits failure? If you have multiple copies of the product; is the problem confined to just one copy? This information is needed to quickly and accurately diagnose and repair your product. Please be as accurate and complete as possible.
	Problem Description:

Shipping Address:
Extreme Engineering Solutions, Inc.
3225 Deming Way, Suite 120
Middleton, WI 53562
Phone: 608-833-1155
Fax: 608-827-6171