Customer Details – Please Provide Information Requested Below And FAX To 714 992 0471 Obtain RMA# RMA Request Form

User Manual: RMA Request Form

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Anaheim Automation, Inc.
Return Materials Authorization (RMA) Request Form
www.anaheimautomation.com
714-992-6990 714-992-0471, Fax
Important Notes: Anaheim Automation keeps RMA numbers active for 30 days after the RMA request date. After 30 days, the RMA will be
deleted from our records. Any product not returned to Anaheim Automation within 30 days, will require a new RMA#.
Product returned without
an RMA# will NOT be processed.
Typical repairs will take 10 business days. Motors and gearboxes may take up to 45 days. Anaheim Automation
charges a “flat-rate” repair fee for products not covered under warranty, regardless of the problem found. CREDIT for returns will be solely
determined by Anaheim Automation, following inspection and test. The restocking charge is 15% on all products returned. The minimum restocking charge
is $25.00. Shipping expenses are paid by the customer. Anaheim Automation is not responsible for damages during transit.
Ship Returns/Repairs to: Anaheim Automation Inc., 910 East Orangefair Lane, Anaheim, CA 92801.
Clearly mark each carton with the assigned RMA number.
Thank You.
Customer Details Please provide information requested below and FAX to 714-992-0471 to obtain RMA#
Return to Company:
Contact Name:
Ship To Address:
Phone Number
City/Sate/Zip:
Fax Number:
ATTN:
Email:
Date RMA
Requested:
Check all that apply:
___Typical Turnaround, 10 days
___Review Possible Substitutions
___Quote “Spare Part”
Billing Information:
(if different from
Ship To address)
Requested By:
Purchase Order:
(optional)
Billing
Contact: Phone:
Terms:
FOB is Anaheim, California, shipped uninsured unless
specified “Insured” and accept additional fees
Shipping Method: The default shipping method is UPS ground service,
prepaid and added to the invoice
, unless specified below
Payment: Choose payment options from below
UPS: _____1 day _____2 day _____ 3 day
UPS Collect Account #_________________________________________
(optional)
FedEx: _____1 day _____2 day _____ 3 day
FedEx Collect Account #_______________________________________
(optional)
_____Net 30 Days, Established Accounts _____COD
Credit CardMasterCard, VISA, Discover and American Express accepted
Card
Number:____________________________________________________
Name
On Card:____________________________________________________
Expiration Zip Code
Date:____________________ on Card:______________________
California Customers:
____Taxable, as applicable ____Resale: Resale Certificate on file: ____yes ____no, please send forms
Return/Repair Information
Please provide all information requested below, so that we might better serve you!
Date
Code
Serial
Number
Reason for Return
Please indicate RETURN or REPAIR
Original
Invoice
Estimated
Flat Rate Fee
Customers are notified of the RMA # and any cost by fax or email, within 48 hours - Do not use a Debit Memo
Use extreme care in packing returns - Anaheim Automation is not responsible for damages during transit
For internal use only Customers do not supply information below
RMA#
Restocking Fee:
(if applicable) $
Credit
Amount: $
RMA #
Issued By:
Date RMA
Rec’d:
Credit
Issued By:
Date RMA#
Issued: (valid 30 days)
RMA
Rec’d. By:
Reason for
Credit:
Action
Taken: ____Repaired and Returned ____Replacement sent, Date Shipped:_____________ ____Returned to AA Stock, Issued Credit
Print Form
Submit by Email
Print Form

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