Rma Service Request Form - Lanner electronics EM-561 Series User Manual

5.25” embedded sbc with vga & three 10/100mbps lan for socket370 pentium iii processor
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When requesting RMA service, please fill out this "RMA Service Request Form".
Without this form your RMA will be REJECTED!!!
RMA No:
Company:
Phone No.
Fax No.:
Return Shipping Address:
Shipping by: □Air Freight
Item Model Name
Problem Code
Item
*Problem Code:
01:D.O.A.
02: Second Time R.M.A.
03: CMOS Data Lost
04: FDC Fail
05: HDC Fail
06: Bad Slot
Request Party
Authorized Signatures / Date

RMA Service Request Form

Reasons to Return: □ Repair(Please include failure details) □
Testing Purpose
□Sea
□Express:
Serial Number
07: BIOS Problem
08: Keyboard Controller Fail
09: Cache RMA Problem
10: Memory Socket Bad
11: Hang Up Software
12: Out Look Damage
Contact Person:
Purchased Date:
Applied Date:
□Others:
Configuration
Failure Status
13: SCSI
14: LPT Port
15: PS2
16: LAN
17: COM Port
18: Watchdog Timer
Confirmed By Supplier
Authorized Signatures / Date
19: DIO
20: Buzzer
21: Shut Down
22: Panel Fail
23: CRT Fail
24: Others (Pls specify)

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