E-Band Communications Wireless Backhaul

Return Material Authorization Request

To obtain a Return Material Authorization Number please complete the required fields indicated by * in the form below.

Company*
Company Address*
Return Address*
Technical Contact Person*
Email Address*
Telephone Number*
Part Number*
Band
Hi
Low
Serial Number*
Order Number
Distance between Sites*
Warranty*
In
Out
Out of Warranty PO Number
Installation Date*
Installation Location*
Failure Type
Reason for Return
Symptom / Detailed Description of Problem*
Advance Replacement Requested*
Yes
No
Do you have a screen printout or some other file to upload?