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AMPEX^® Return Material Authorization Request

Please complete all possible field within the below form; incomplete forms will delay the processing of your request. Please do not use Internet Explorer (IE) when filling out form.

"*" indicates required fields

Email*

Customer or Company Name*

Ampex Part #

Ampex Serial #

Reason for return

Problem occurred during

Ampex engineer / technician contacted to discuss problem, if applicable

If returned item is not configuration controlled, is update of S/W & F/W to latest released versions allowed

If returned item is not configuration controlled, is ECN update to latest released versions allowed

Is the hardware to be returned classified or contain classified information

If government property, property tag information

Should Ampex attempt to recover any data

(There is an additional charge for this service. Data recovery is not guaranteed)

Customer POC Technical Issues

Full Name

Phone

Customer return shipping contact info & return shipper preference

Full Name

Phone

Customer POC Warranty Issues

Company

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Attn Name

Attn Phone Number

FedEx Return Shipping Account Number

UPS Return Shipping Account Number

Any Customs or Duties charged to Ampex Data Systems in the return of this RMA may result in a bill back to the sender.

Once you submit this form, we will issue you with an RMA number and send it to you with instructions on shipping the material.

If you have any questions, please call RMA Support at (650) 367-2848

AMPEX® Return Material Authorization Request

Customer POC Technical Issues

Customer return shipping contact info & return shipper preference

Customer POC Warranty Issues

AMPEX^® Return Material Authorization Request