RMA FORM

Please fill out the form below. You will receive a RMA within 2 business days.

Customer Information
Company Name:	*Valid Company Name Required
Contact Name:	*Contact Name Required
Account Number:	*Account Number Required
Phone:	*Phone Required
Ext:
Email:	*Valid E-Mail Address Required
Entered By:	*Valid Entered by Name Required
Comments/Notes:

Ship From Address Information
Address:	Address 2:	City:	State:	Zip:
					*Address Required	*City Required	*State Required	*Zip Required

Information for Return Items (DCS cannot accept OEM defective returns)
Item#:	Qty:	Detailed Reason for Return:	Order # or Invoice #:	Order Date:
					*Order/Invoice # Required	Order/Invoice # Must be 7 digits.

RMA