Return Merchandise Authorization (RMA)

1. Country *
2. First Name *
3. Last Name *
4. Job Title
5. Company Name *
6. Street 1 *
7. Street 2
8. City *
9. State
10. Postal/Zip Code
11. Tel *
12. Extension
13. Mobile *
14. Email *
15. Website

1. Country *
2. Company Name
3. Street 1 *
4. Street 2
5. City *
6. State
7. Postal/Zip Code
8. Tel *

1. Model Number *
2. Serial Number *
3. When did you purchase this product? *
4. How long has your product been in service? * Less than 7 days7-30 days1-3 months3-6 months6-12 months12-24 monthsMore than 24 monthsNever Used

1. Describe the environment where your product is used (select all that apply) * Data CenterDesktopFactoryIndoorsBankOfficeOutdoorsResidentialRestaurantHospital/ClinicRetail KioskServer ClosetServer RackUnder DeskIndustrial/FactoryMobile/VehicleUndeterminedOther
2. If "Other" or "Mobile" environment, please provide further details
3. Describe your application (select all that apply) * Audio ReceiverCash RegisterDVD PlayerHousehold ApplianceNetwork HubsHVAC EquipmentMobile/VehicleComputer MonitorPersonal ComputerPower ToolsRetail KioskNetwork RoutersSump PumpNetwork SwitchTelephone SwitchServerMotorTVVCRUndeterminedNo load attachedOther
4. If "Other" application, please provide further details
5. What is the total power consumption of all the equipment connected to your product? *
6. Please describe the problem you are having with your GRANKIA product. *

* Required