WISETECHUSA, INC.
1677 Curtiss Court, La Verne, CA 91750
Tel: (909) 392-0588 Fax: (909) 392-5800
Website: www.wisetechusa.net

RMA Request Form
Complete this form. Click on Submit when ready to send.
Incomplete form filling may cause delay in RMA process.
* Denotes required field.




Customer Information


 *Company
   Name:
* First Name:
* Last Name:
* Phone:
  Fax:
* Email:
* Shipping
  Address:
* City:
* State:
* Zip/Postal:
* Country:
 USA
Canada


Product Details

* Invoice Number:
 
* Invoice Date:
 
  Numbers
  of Items   Requesting:
 
  Salsperson:
(Please enter the name of your salesperson or company)

Instructions on filling the box:
  • Please separate the necessary information by typing a forward-slash.
  • Please hit the "Return Key" for each product(s).
  • Item Code / Serial Number (if applicable) / Description / Quantity(ies) Returning.
    Example: WDVD4.7G / WISETECH 4.7GB DVD-R GENERAL PURPOSE 1X / 3pcs
* Reason For   Return:
 Defective Product
Wrong Product
Received Damaged

* I Would
  Like To:
 Replace The Item
Exchange The Item (Please specify in the comments box.)
Refund My Money


  Comments:
* I have read the return policy and I certify that I fully understand the terms therein. I agree
to be legally bound by these terms. I am aware that typing my full name in the following
box serves as a legal digital signature.