J. D. RESEARCH, INC. 1247 North Glassell St. #1, Orange, CA 92867                      Note: This form is best viewed in landscape form

FAX: (714) 282-3996 or email: sales1@jdresearch.com                                                     RMA# Assigned: _____________________ RMA units must be received by: _________



1. Complete this form above the dash line. (please print or type) 2. Fax it back with your invoice(s). 3. We will fax back this form to you with a RMA# assigned (upper right hand corner of this form) 4. Ship the units to "RMA department". Be sure to write the RMA # on the box.

Name: ________________________ Company Name: ________________________Tel: ____________________________Fax:________________________________Date:__________

email Address:________________________________ Address: _________________________________________________________________________________________________

Item #



serial no. Invoice # Inv. date problem JDR Rcvd by/






RMA Conditions

(1) Warranties are effective from the date of the original invoice, not from RMA invoice. (2) All warranties will be deemed void if returned products have any physical, electrical, electrostatic damage,or have been installed in incompatable systems. (3) Serial numbers on invoice(s) must match those on returned products. (4) Defective products must be received first before they can be replaced. (5) Returns without an approved RMA number or without freight prepaid will be refused and shipped back at customer's own cost. (6) A flat fee of $25.00 plus freight will be assessed to Buyer for any claimed defective products where no problem is found or the problem can be solved by BIOS or software update. A labor rate of $65.00 per hour plus parts used for repair and return freight will be charged to Buyer for out-of-warranty products or products defective from misuse, neglect, or improper environment. (7) J. D. Research, Inc. reserves the right to refuse any RMA if any of the above conditions are not met. 8) For details, please see our Terms and Conditions of Sales at http://www.jdresearch.com/terms.htm

Customer's signature x__________________________ Customer's name (please print) _____________________________________


Replacement records JDR inv. : SN ___exp. date ___ ; physical SN __; Qty check ___ Physical inspection: _____

Replacement DATE: _________ JDR Warehouse:1_____2_____3_____4___

Qty item description & JDR part # new serial no. exp. date Comment Received by customer: (or UPS #)