RMA request

Sender:
Company*
Customer account number*	–
Responsable person*
Street*
Postal code* ⁄ Town*
E-mail*
Telephone*
Fax
Discomp contact*
Please advise RMA number for the following products:

Part number*	Serial number.	Quantity*

Manufacturer*

Tracking number / Proof of delivery:

Invoice number*

Delivery note number

error description:

error type*		Description:
reading error/writing error Peripheral is not accepted Defective sectors Loud running noises Does not boot Return Sample

* = Required