Request RMA

Please complete the Return Materials Authorization form below as complete as possible. If you require assistance, please visit our contact page.

Tech – Name

Tech – Phone

Tech – E-mail

RMA Request Date*

Warranty/Non-Warranty *

Type of Request *

Other

VDCDS Service/Repair Plan Number

Replacement/Repair PO:

PO Amount

Ship – Company *

Ship – Street *

Ship – City *

Ship – State

Ship – Postal/Zip *

Ship – Country *

Billing address same as Shipping address? *

Bill – Company

Bill – Street

Bill – City

Bill – State

Bill – Postal/Zip

Bill – Country

Projector Model:

Projector Serial Number

Module Part Number

Module Description

Defective Module Serial Number

Failure Description

* Required