SWF-8.7-947 Rev. 0

RMA REQUEST FORM

To help expedite Return Material Authorization (RMA) requests, please provide the following information to our customer service department at the time of request.

All return requests are subject to pre-approval by Advanced Interconnections. Upon approval, an RMA number and shipping instructions will be provided.

– or:1) Advanced Interconnections (AIC) Pack List number:

a) Customer name, AIC Sales Order number (with line #), AIC Part ID:

2) Quantity returning (required):

3) Return action requested (please check one):

a) Repair (no credit issued)

b) Replacement (credit and new invoice issued for RMA quantity)

c) Credit (credit/refund issued – subject to AIC’s terms and conditions)

4) Reason for return:

Our customer service department will review your request with our Quality department, and if approved, will issue an RMA number. In some cases, we will request 1 to 2 pieces of the product (or photos) to evaluate prior to issuing an RMA. Instructions for returning additional pieces or the full RMA quantity will be communicated along with the RMA number. Please contact customer service if you have any questions.

FOR AIC INTERNAL USE:

Upon approval, ship to the address below and indicate RMA number on outer packaging.

RMA Number:

Date Approved:

Return Quantity Approved:

AIC Sales Manager:

AIC Quality Manager:

Approved Return Ship Method and Account No.: