Rugged Notebooks RMA Request Form

Service Request Form

Out of Warranty Repair items will be charged a $100.00 diagnostic fee in the event the customer decides not to proceed with the quoted repairs. Customers are responsible for payment of parts, labor, and return shipping and handling charges.
Please place a copy of this form in the box sending back.
RMA number will be issued to you by email after we receive the submition of this form.
Please put the RMA number on the top of your package and insure your package, RuggedNotebooks will not be responsible for lost and damaged package during shipping.
Please ensure that you backup any critical data and applications in the event the technician needs to either reformat, reimage, or replace the hard drive. Ruggednotebooks will not be responsible for lost and damaged data during repair.

Customer Information: (* denotes required items)

*Name:**		Company:
*Ship Address:**	(No PO Box please)
*City:**		*State:**
*Zip Code:**		*Country:**
Phone Number*		Fax Number:
*E-mail:**

*Product Information: ( denotes required items)**
*Model Number:**	(On bottom of the laptop)	*Serial Number:**	(On bottom of the laptop)
Invoice Number:		Invoice Date:
Power Adapter:	Yes No	Battery:	Yes No
*Login Username:**		*Login Password:**
Defective Symptom*:
Notes: