JCM Global

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:

* Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:

Shipping Address: Same as Billing Address

* Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:

Return Information:

* Contact Name:
Phone:
Fax:
* Email:
*P.O./Credit Card #:
Method of Payment:Credit CardNet 30
Return Ship Method:GroundOvernight2 DayWill CallOther

Items For Return

Original Invoice #:
Reason for Return:

Part #	Your Part #	Part Description	Quantity

The Americas

Europe, Middle East And Africa (EMEA)

Asia-pacific (APAC)

Japan

Return Materials Authorization (RMA)

Billing Address:

Shipping Address: Same as Billing Address

Return Information:

Items For Return