ID RETURN AUTHORIZATION REQUEST FORM

RETURN AUTHORIZATION REQUEST FORM
IMAGE DYNAMICS USA INC.

CUSTOMER SERVICE DEPT. TEL NUMBER: (909) 930-1377

Email: warranty@imagedynamicsusa.net
RA#
DO NOT TYPE HERE - FOR INTERNAL USE ONLY
Select Type Of Return

CREDIT (Direct Accounts Only)EXCHANGE
Contact Name*
Dealer
Leave Blank for Consumer Return
Account No
Leave Blank for Consumer Return
Address*
City State Zip.
Contact Phone Number
Contact Fax Number / Email Address*
example@example.com
Date

MonthDayYear
Date
Model
Serial
Specific Description of Problem *(Failure to complete will mean denial of RA)
Model
Serial
Specific Description of Problem *(Failure to complete will mean denial of RA)
Model
Serial
Specific Description of Problem *(Failure to complete will mean denial of RA)
Model
Serial
Specific Description of Problem *(Failure to complete will mean denial of RA)
PLEASE UPLOAD A COPY OF YOUR PURCHASE RECEIPT

PROOF OF PURCHASE IS REQUIRED FOR ALL CONSUMER RETURNS
Cancelof
DO NOT SHIP YOUR ITEM(S) BACK TO IMAGE DYNAMICS UNTIL YOU HAVE OBTAINED AN RMA. SUBMITTING THIS FORM DOES NOT APPROVE THE RMA, THE RMA NUMBER MUST BE GENERATED AND RETURNED TO YOU BEFORE SENDING ANY ITEM(S) BACK TO THE BELOW ADDRESS.

PLEASE RETURN ALL DEFECTIVE PRODUCTS TO:

IMAGE DYNAMICS U.S.A., INC. – 2133 S. GREEN PRIVADO – ONTARIO, CA 91761 PLEASE WRITE THE RA# ON ALL ADDRESS LABELS AND EACH CARTON(S) PRIOR TO SHIPPING
Should be Empty: