Support

RMA Form

Return Materials Authorization (RMA)

The following information is required in order to process your request for return of material. This form is not to be used for product repair, warranty or service.

Please contact your JCM area representative for prior approval of this request. Product will not be accepted without an RMA number. Upon submission of this form, a JCM representative will process your request and contact you by FAX or e-mail to provide the assigned RMA number.

* Fields marked with an asterisk are required

Billing Address:

* Name:

* Address 1:

* Address 2:

* City:

* State:

* Zip/Postal Code:

Shipping Address:

Same as Billing Address

Name:

Address 1:

Address 2:

City:

State:

Zip/Postal Code:

Return Information:

* Contact Name:

Phone:

Fax:

* Email:

* P.O./Credit Card #:

Method of Payment:

Credit Card Net 30

Return Ship Method:

Ground

Overnight

2 Day

Will Call

Other:

* Items for Return:

Original Invoice #:

Reason for Return:

Part #	Your Part #	Part Description	Quantity

Submit

Reset