Power Electronics: Amplifier Products

Return Material Authorization (RMA)

Name, Contact

Company
Name
Email
Phone
Fax

Please provide us with your billing address

Address
City
State/Province
Postal Code
Country

Please provide us with your shipping address

Address
City
State/Province
Postal Code
Country

Item being returned

Part/Model No.
Serial No.

Product failed item came out of (if different)

Part/Model No.
Serial No.

Provide a description of the problems you are experiencing with this product

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