Elite Screens | RMA form

1. RMA/Service Form

Support Request Form * ( required field )

Company Name (if applicable)
First Name *
Last Name *
E-Mail Address *	(Please see ref.1 if you useing AOL account)
Phone (Work)
Phone (Home) *
Phone (Cell)
Fax:
Address1 *
Address2
City *
State *
Zip *
Country
Date of Purchase *
Where you purchased from *
Where you purchased ( Phone )
Your Purchase Invoice # *
Model number (Located on screen case end cap or label on packaging box) *
Serial # (Located on sticker at screen case end cap or behind the case) *
Version # (Locate on the back of remote control,etc. V1.4)
Problems
Description of your questions / problems
Proof of purchase*	(Max=1MB)
Defect/Damage Screen Picture *	(Max=1MB)
Defect/Damage Screen Picture	(Max=1MB)
PLEASE NOTE THIS IS NOT A CREDIT REQUEST OR EXCHANGE FORM. THIS FORM IS FOR WARRANTY SERVICE ONLY. PLEASE CONTACT YOUR POINT OF SALE FOR RETURN FOR CREDIT OR EXCHANGE INSTRUCTIONS. ref1. It happens sometimes when you send emails from an AOL account, you will receive a failure notice email. However, we do receive your request Please Completely fill out this form ( include Model# and Serial # ) Failure to provide this information will result in a denied warranty claim. Fax number (562)926-8655 Atten: RMA Department