MNC-0700-001
5
Revision F
Service and Repair
Figure 1, RMA Request Form Example
RMA REQUEST FORM
DATE:
WARRANTY:
RMA:
ORIG SHIP DATE:
COMPLETED BY:
ORIG SO :
WARRANTY EXPIRES:
CUSTOMER:
MODEL:
P/N:
S/N:
MODEL:
P/N:
S/N:
INCLUDED ACCESSORIES
Note: Please only return accessories as required to support repair testing
REASON FOR RETURN:
Has this unit been returned for repair before?
Yes:
No:
USA:
UK:
Brazil:
SHIP TO ADDRESS:
BILL TO ADDRESS:
PREFERRED SHIPPING METHOD
Fed X
UPS
DHL
Other
PLEASE NOTE - Units returned during the Warranty period that are found to be problem free will be charged
the minimum evaluation fee.
FOR ALL OUT OF WARRANTY UNITS: Xicom Technology will not proceed with the repair until we have a
purchase order in place.
Price for this repair:
Includes all repair parts, labor, upgrades and full testing
Purchase order number:
*TWT and Linearizer Excluded - they will be quoted on a parts and labor basis.
*The above price will not cover units that have been damaged beyond normal wear and tear- they will be
quoted on a parts and labor basis - if repairable. Repair or Replacement at Xicom's Option.
*Discontinued models will be quoted on a parts and labor basis - if repairable. Repair or Replacement at
Xicom's Option.
*Minimum Evaluation price will be charged for minor repairs, $1000. for amplifiers, $350. for controllers.
Contact
Enclose a copy of this form with unit and ship to:
Name:
Xicom Technology
Phone:
3550 Bassett Street
Fax:
Santa Clara, CA 95054
e-mail:
Attn: RMA
Xicom Technology
3550 Bassett Street
Santa Clara, CA 95054
Tel: 408-213-3000, Fax: 408-213-3107
Revision Date 3/8/2004
EAR EXPORT CONTROLLED: The information contained in this Manual refers or relates to a product that is subject
to the U.S. Export Administration Regulations (EAR). Transfer of data herein by any means to a Foreign Person,
whether in the U.S. or abroad, may require an export license from the U.S. Department of Commerce.
