xwave RMA Request Form 
  Product Repair
If you require a product repair please contact your xwave sales team.

Product Replacement Orders
If you require a replacement product, please contact your xwave sales team to place the order.


Terms & Conditions
 
   Contact Information  (* denotes a required field) November 21, 2008 
Company Name: *  Contact Name: * 
Company Address: *  Contact Phone: * 
Address Line 2: Contact Email/Fax: * 
City: * 
Province/State: * 
Postal/Zip Code: * 
   Product Return Information  (* denotes a required field)   
xwave invoice #
or
Purchase Order#
* Opened /Broken Seal: *
Manufacturer Part #: * Package Marked On: *
Part Description: * Damage: *
Qty being Returned: * All Components Included: *
Reason for Return: *
Serial # (or n/a): *
 
   Product Pickup Information  (* denotes a required field)
# of boxes being returned: *  
Total approximate weight (lbs) of boxes being returned: *  
Where is the product currently located?
Pick Up Location
Additional Information (ex: details of damage or defect):
 


To Add Attachments:

1. Use the Browse button to find a file that you want to attach to this request

2. Use the Add button to add the selected file to the list of Documents to be Attached Email.
Attachments Add:    Remove:
(ex: pictures of damage, copies of packing slips, or invoices)

 
Urgent Request?  
 
   Internal Use 
xwave Contact: 
xwave Contact Email: 
xwave order #: