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RMA (Return Material Authorization) Request

Please send me an RMA for:

PLEASE FILL IN ALL FIELDS TO EXPEDITE PROCESSING
Product: Product serial number:
If more than one product involved, list other product serial numbers:
Service requested:
Detailed description of any problem(s):
*VERY IMPORTANT* Circumstances under which problem or failure occured:
(include any voltage, current settings, device being tested, sequence of events etc.)
Name: Company:
Return shipping address:
Billing address:
(For US customers only) Federal Tax ID no.:
Phone number:
Fax number:
e-mail address:

PLEASE FILL IN ALL FIELDS TO EXPEDITE PROCESSING
Manta Test Systems
Canada & US 1-800-233-8031