Return Materials Authorization Form

Please fill out the form.

Customer Name:
Customer Email Address:
Customer Phone Number:
Customer Fax Number:
Company Name:
Company Shipping Address:
Company Billing Address:
Have you received internal support?
  Yes
  No
What item are you returning? Please include the model number or version.
 
What are the issues with
the equipment?
Do you want the equipment repaired, replaced, or would you like to trade it in?
  Repair
  Replace / Trade-In
Is this equipment under warranty?
  Yes
  No
If so, please provide PO#
Do you want to retun for credit?
  Yes
  No
If so, please provide PO#
Did you purchase the equipment from QTT or a distributor?