Return Materials Authorization (RMA)

The following information is required in order to process your request for return of material. This form is not to be used for product repair, warranty or service.

Please contact your JCM area representative for prior approval of this request. Product will not be accepted without an RMA number. Upon submission of this form, a JCM representative will process your request and contact you by FAX or e-mail to provide the assigned RMA number.

* Fields marked with an asterisk are required

Billing Address:







Shipping Address: Same as Billing Address







Return Information:






Credit CardNet 30
GroundOvernight2 DayWill CallOther


Items For Return




Part # Your Part # Part Description Quantity

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