Submit by Email Print Form Return Material Authorization Form Instructions: 1. Please call 877-712-7266 option 6 to receive your RMA number. 2. Once you have received an RMA number, please complete this form and ship material to: Ascom Wireless Solutions Inc., ATTN: RMA Department, 598 Airport Blvd, Suite 300, Morrisville, NC 27560 NOTE 1: 1) Remove the following accessories (if applicable): a. SIM Card b. Battery c. Swivel Belt Clip NOTE 2: 1) 2) The form must be completely filled out to assure a thorough processing of the RMA. A copy of this form must be included in each box associated with the return shipment and the RMA number must be clearly written on the outside of each box. NOTE 3: 1) All water damaged or biohazard damaged phones will not be repaired and will be sent back at the customer’s expense. 3. Once the equipment has arrived in NC, and has been processed we will contact you regarding warranty or repair status. 4. If required, your P.O. should be faxed to 919-234-2526 to authorize repairs. TO: RMA#: RMA Department POINT OF CONTACT: DATE: COMPANY NAME: PROTECTION PLAN # (if applicable): PHONE #: FAX #: ADDRESS FOR RETURN SHIPMENT: ATTN: POC E-MAIL: TOTAL QTY ITEM(S) SENT TO BE COMPLETED BY REQUESTOR Model or Type Serial Number Description of the Problem TO BE COMPLETED BY ASCOM Out of Box Failure? Y/N Warranty Findings Y or N Logistics Dept (Receive) Date/Initial ___________/____________ Repair Lab Date/Initial ___________/___________ TOTAL QTY RECEIVED Date/Initial___________/____________ Logistics Dept (Processed) Date/Initial ___________/___________ RMA (V15)