RETURN MERCHANDISE TO:
Genstor Systems, Inc.
Attn: RMA Department
780 Montague Expressways # 604
San Jose, CA 95131
P:408-383-0120 Fax:408-383-0121
 
RMA Number:
(If Known)

Issued Date:

 
FIELDS BELOW MUST BE COMPLETED BY CUSTOMER
 
System   Component
 
Customer Information: Requesting For: (check one)
Company Name:
Contact Name:
Address (Will be used to ship system/component back to you)
Street :
City:
State:
Zip:
Phone:
Mobile:
FAX:
E-mail: