POWERBASS RETURN AUTHORIZATION REQUEST FORM v4

POWERBASS RETURN AUTHORIZATION REQUEST FORM v4

Please fill in all information applicable to your return request.
CUSTOMER SERVICE TEL: (909) 923-3868 Email:warranty@powerbassusa.com
Name/Customer:
Account#:
FOR DIRECT ACCOUNTS ONLY - CONSUMERS PLEASE LEAVE BLANK
ADDRESS: Street City State & Zip
Enter your FULL ADDRESS Here
Contact Person:
Contact Phone Number:
Format: (000) 000-0000.
Contact Email Address:
example@example.com
You Must Select One Below, Only Direct Accounts Can Select Credit
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
RA#:
FOR INTERNAL USE ONLY DO NOT TYPE HERE

Please Note: If you you need more room to explain your issue please type more information in the next description box under your items main row. For Out Of Warranty Pro-Rate if you were provided a Pro-Rate Quote Please include that information in the description row below your items description main row.

Rows	REC Leave Blank	Model #	Serial #	Specific Description of Problem* (Failure to complete will mean denial of RA)
1
2
3
4
5
6
7
8
9
10
11

PLEASE UPLOAD A COPY OF YOUR RECEIPT / PROOF OF PURCHASE FOR THE ITEMS LISTED IN YOUR RA REQUEST.

Cancelof
DO NOT SHIP YOUR ITEM(S) BACK TO POWERBASS 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.
ONCE AN RA# IS ASSIGNED PLEASE RETURN ALL DEFECTIVE PRODUCTS TO: POWERBASS 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: