Dealer Fenix Warranty, Repair, and Return Form

Dealer Fenix Warranty / Repair / Returns Form
Today's Date*

MonthDayYear
Return Authorization Number (RMA)*
This is REQUIRED: Call 800-616-1326 Ext. 2 for this number.
Company Name
Company Contact Name*

First NameLast Name
Company Contact E-mail*
Company Contact Phone*

Area CodePhone Number
Return Address (where to send the items back to)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Customer Name

First NameLast Name
Product Model(s)*
What issues are you having with the items, in as much detail as possible?*
Item(s) Purchased on Invoice Number:
Please Select One of the Following:*

For RepairFor Credit (only if item is in new condition other than defects)For Replacement (only if item was DOA or defective within 30 days of customer's purchase)
Captcha*
Send To:

Fenix Repairs & Returns Dept.

RMA#:________________

904 S. Main Street

Broken Arrow, OK 74012
Should be Empty:

Dealer Fenix Warranty / Repair / Returns Form