Contacta Inc. RMA Form

Return Merchandise Authorization Form

Please complete this RMA form for each product that you would like to return.
Customer Information
Email*
example@example.com
Company Name*
Contact Person*

First NameLast Name
Phone Number
Please enter a valid phone number.
Order Information
Product*
Venue Location/Name
Serial Number*
Date of Purchase

MonthDayYear
Date
Description of Issue*
Please summarize what you have done to remedy the issue you are experiencing.
Have you been in contact with a technician to troubleshoot yet?*

YesNo
Who did you speak with?

Dave ScrogginsWarren BrownJim Scott
Order Information
Do not return the item in the original equipment box with the label for the external box. Returns must be packaged securely in an internal box which is then placed in an external box with a shipping label.
What are the dimensions of in box being used to return the item?*
Provide dimensions of width/height/depth in feet/inches
What is the weight of the box being used to return the item?*
A Contacta staff will be in contact with you within 1-3 business days. If this requires immediate attention, please call the office at (616) 392-3400.

Note: Please do not return your product until instructed to do so.
Should be Empty:

Return Merchandise Authorization Form