Customer Name *
   Phone * Ext. Fax *

i.e. 82-2-2027-2400   i.e. 82-2-2027-2419

   e-Mail Address

*
   Address 1 *
   Address 2
   City * State
   Zip Code * Country
   Contact Person * Job Title
 
 
   Customer Name *
   Phone Ext. Fax *

i.e. 82-2-2027-2400   i.e. 82-2-2027-2419

   e-Mail Address

*
   Address 1 *
   Address 2
   City * State
   Zip Code * Country
   Contact Person * Job Title
 
 

   We generally use UPS , DHL, FedEX Ground to return your RMA products FREE of charge.
   LUMANTEK will NOT be responsible for the return shipping/freight charge using UPS or FedEx ground service in out of warrenty product case or More advance shipping will also be
   at customer's expense.

   UPS/FedEX/DHL/TNT Account Number:

 
 
Model # Qty Serial #

Problem

Model #

Qty Serial #
Problem
Model # Qty
Problem
Model # Qty Serial #
Problem
 
 
   Please read the following agreement:
I understand and agree to the RMA Policy