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RMA

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					                                                           RMA Request Form                                                                                        RMA Number
                                                           Products must not be returned without a valid WillDan Systems Ltd RMA number.
                                                           Please ensure all sections of this form are filled out as this will assist in the efficient
                                                           and timely processing of your RMA request. Once completed and signed, fax back
      COMPANY & CONTACT DETAILS                            this form to fax number +44 (0) 1992 451177.

                                                          Company Name

                                                             Contact Name

                                             Contact Telephone Number

                                                     Contact Fax Number

                                                   Contact email Address

                                              WillDan Account Manager


                                          Product Part Number or Code

                                                   Quantity to be returned                                             Please provide serial numbers in the space provided below *
      PRODUCT & PURCHASE DETAILS




                                          Your Purchase Order Number                                                                        Date of Purchase

                                                 WillDan Invoice Number                                                                            SO Number

                                               Product being returned for                                                                << Please state Replacement or Credit

                                                Product Serial Numbers *
      REASON FOR RETURN




                                    Please provide as much detail as possible regards the reason for this return including a description of any faults




    All advance replacements will be invoiced and if the product is not returned this invoice will be due for payment. Please ens ure all
    products are returned in their original packaging (including inner and outer boxes) along with any cables, manuals and other items.
    Please do not mark or write on the original packaging. Products must be returned to WillDan Systems Ltd within 10 working days of
    the RMA number being issued. Products received without a valid WillDan Systems Ltd RMA number or outside of 10 working days or
    products not in their original packaging or products returned with marked packaging will be refused. Please enclose a copy of this RMA
    form with the products and clearly mark the RMA number on the address label and send the products back to:

    WillDan Systems Ltd, RETURNS, Broxbournebury Mansion, White Stubbs Lane, Broxbourne, HERTS, EN10 7PY, UK

    Please fax this form to Locke Distribution Ltd on +44 (0) 1992 451177. Should any assistance be required with this form or the returns
    process please contact your account manager or WillDan Systems Ltd Returns on +44 (0) 1992 450055.




     Your Name (please print):                                                                                     Your Signature:


                                   Position in Company:                                                          Date Completed:
                                     WillDan Systems Ltd, Broxbournebury Mansion, White Stubbs Lane, Broxbourne, HERTS, EN10 7PY, UK - T: +44 (0) 1992 450055 - F: +44 (0) 1992 451177
                                                                   Company Registration Number: 05547431 - VAT Number: 915 7130 37 - www.willdan.co.uk


WillDan Systems Limited standard Terms and Conditions apply which are available on www.willdan.co.uk                                                  9fa9e4aa-57ea-4720-abbc-e2c3d77bcdda.xls

				
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