KWA Rental Program RMA Request
Only for Rental partner use
Company Name
*
Contact
*
First Name
Last Name
Email
*
example@example.com
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Model
Serial Number
Issue
Extra Note for Tech
#1
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#2
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#3
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#4
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#5
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#6
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#7
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#8
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#9
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
#10
104-01010 KM4 A1
104-01015 KM4 CQB
104-01107 KM4 SR7
104-01108 KM4 SR7 Tan
104-01301 VM4 A1
106-00300 RM4 A1
106-00303 RM4 SR10
104-01406 Ronin T6
106-01410 Ronin T10
104-01501 QRF Mod. 1
104-01502 QRF Mod. 2
Wear & Tear (Internal)
Wiriness issue
External Parts Broken
Others
Prefer Repair time (KWA will do our best to provide the service, however it also depends on the RMA quantities )
*
Within 3 days
Within 7 days
No preference
Any note for KWA?
Submit
Should be Empty: