Home >> Contact>> Return Material Authorization Form
Return Material Authorization Form
Bolded form fields are required for this form to be submitted.
First name
Last name
Customer number
Bill to: Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Ship to: Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Phone
Email
Shipping Via
UPS
BLUE LABEL
BEST WAY
AIR
WILL CALL
OTHER
PO Number
Number of Units
1
2
3
4
5
6
7
8
Product #1 Name
Part Number
Serial Number
Repair/Return
Do you have a warranty?
Date of Purchase
Please enter any symptoms, corrective action and/or special instructions you have.
Copyright © 1999 TeleVideo, Inc. All rights reserved
2345 Harris Way, San Jose, CA 95131
