Please complete all fields with an “*” and return to:

*Date: RMA No.:

YOUR CONTACT INFORMATION

*Company’s Name:
*Your Name: / :.:
*Your E-Mail:
*Your Office Phone / Your Cell Phone:
NEW Customer (RFL will send credit package for completion & return)

REPAIR SHIPPING INFORMATION

*Ship to address (No PO Box):

*
*
*
*Attention:
Special Shipping Instructions: (RFL Ships using UPS Ground)

EQUIPMENT TO BE REPAIRED INFORMATION

*Module Part No./
Unit Product No./CD No. / Model No. / S/N / *Qty / Date Code / *Problem

(1 RMA No. will be assigned per part number)

Special Notes:

Payment Information for Repairs

(If in doubt, please provide payment information and we will check warranty status upon receipt of item)

Credit Card on File with RFL.

NEW Credit Card Order (Please call or e-mail information)

Purchase Order No.(please also e-mail PO separately)

Please provide a quote for repair prior to submitting payment information

PRODUCT INFORMATION

Instructions:

·  Module Part Nos. are stamped or labeled and are located on the solder or component side.

·  Chassis Product Nos. or CD Nos. are located on mounting ears.

·  Date codes are labeled as follows:

o  Stamped on the solder side (older equipment)

o  P/N label with 4-digit code after the P/N; i.e., 0852 (52nd week of 2008).

o  Bar Code: 1st 4 digits of the bar code; i.e., 08522345678, 0852 is the date code.

·  Newer products (post 2007) will have a clearly marked serial number.

Warranty Information

(No-charge repair & shipping)

10 Year Wty: RFL GARD 8000 & RFL 9300

5 Year Wty: IMUX 2000

3 Year Wty: RFL 9745, eXmux 3500/3200/3000

1 Year Wty: RFL 6850/9800 Series/9780/9785/

Imux 4000/Circuit Boards/Power Supplies

1 Year Wty: RFL Previously Repaired Items under

RMA No.

Non-Warranty Repair Costs

Minimum charge of $200 for diagnostic fee. Repairs will be billed at 50% of current list price.

Instructions for return:

RFL Electronics Inc.

353 Powerville Road

Boonton Township, NJ 07005-9151

Attn: RMA #xxxxxx

RFL will e-mail the RMA Number(s) to you once assigned. URGENT requests are repaired on current equipment within 3 days from receipt of part (not including backordered parts). Obsoleted product will be determined on a case-by-case basis.

Thank you for your support of RFL.

Technical Support Contacts:

Office No. Cell No.

Dave Clare 973-334-3100 Ext. 340 201-213-1979

E-mail:

Doug Schrodel 973-334-3100 Ext. 238 862-812-4494

E-mail:

Mike O’Neal 973-334-3100 Ext. 487 973-769-7667

E-Mail:

Marko Stieber 973-334-3100 Ext. 211 201-841-9818

Customer Service Mgr.

E-Mail: