RA Request
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Email Address
Subject - if you don't see a suggested article, just leave description
Fault Description
Address and State
Phone No.
Under Warranty?
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Yes
No
No - Paid $90 Book-in Fee
Don't Know
Date of Purchase
Reason For Return
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Repair
Replace
DOA
Credit Request
Other
Type of Product
Brand
Model
Serial Number
Unit Condition
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Brand New
Good
Used
Damaged
Accessories with unit
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