RMA Customer Form - Sypris Electronics

Please complete all required fields below to initiate a Return Merchandise Authorization (RMA) request with Sypris Electronics.

*COMPANY NAME

*COMPANY ADDRESS

*REQUESTOR'S FULL NAME

*REQUESTOR'S EMAIL ADDRESS

*CONFIRM EMAIL ADDRESS

*REQUESTOR'S PHONE NUMBER

*SERVICE REQUEST TYPE

ADDITIONAL COMMENTS

*IS THIS A SYPRIS PART?

Yes No

*PART NUMBER (ONLY ONE PART NUMBER PER RETURN)

*SERIAL NUMBER(S) RETURNED

*QUANTITY OF UNITS RETURNED

*SERVICE DESCRIPTION(S)/FAULT DESCRIPTION(S)

*DO YOU NEED TO SUBMIT ATTACHMENTS?

Yes No