PTEK providing FM Broadcast transmitters, RF power amplifiers and exciters

Voted #1
for customer service*

RMA (Return Material Authorization) REQUEST FORM

No work on repairs can be started until full payment is received. Any units submitted for repair and not paid for 30 days after submission will become the property of PTEK

*Denotes Required Information

Name
Company
Address	This is where we will ship the repaired unit to (no PO Boxes)
City
State		Zip Code*
Phone		FAX
E-Mail*
Product
Serial Number*
Insurance Value	We should use to return the repair to you?*
All packages are insured by UPS for $100 at no cost if that is OK enter $100
Insurance Charges
$100.01 - $300	$15 minimum
$300.01 - $50,000	$15 + $0.40 per $100 of value
Fault reported or special instructions For example, how do you want this shipped back to you if not by UPS ground (our default)?

Please note in warranty returns with no fault will be charged $100 service fee plus return shipping
I have read and agree to the above terms and those on our terms and conditions page

* Source: June, 2007 marketing survey conducted by an independent marketing firm.