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RMA Request Form

RMA Form

 
Ship to First Name : Ship to Last Name:
Customer# : Order# :
Tel :


Part #
Qty to be Returned
Detailed Reason for Return
Request :
Refund
 
OR
 
 
Replacement
 

Note: Replacement, warranty and return of all damaged and defective OEM Xerox items will be handled directly by Xerox, USA.
 

Name:

Email Address:

Comments:

 

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