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IONODES_RMA

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posted:
11/19/2011
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RETURN MATERIAL AUTHORIZATION SHIPPING FORM

RMA Number: Prepare by:

Advance Replacement: Authorized by:

Date issued:

SHIP TO ADDRESS

IONODES Inc.

4001 Boul. Industriel Shipping contact:

Laval, Quebec, Canada Eric Tasso

H7L 4S3 450.696.1060



INSTALLATION SITE INFORMATION



Customer name: Contact Name:

Phone:

Address:



City: State/Province:

ZIP/Postal Code: Country:



ITEMS TO BE RETURNED

Description / Part # Qty Serial Number Customs Value









REASON FOR RMA









Please note

Please clearly mark RMA number on outside of packaging.

Please make 4 copies of this form, 1 to be placed inside, 3 to be placed on the outside with shipping documents.

The RMA number must be referenced on all shipping documents.

For advance replacements, please ship the defective unit(s) within 30 days or you may be charged extra.



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