RMA Form 

Customer Name :                  _______________________________________

Sales Attendant :                   _______________________________________

Contact  Phone :                   _______________________________________

Contact E-Mail :                    _______________________________________ 

LCD Part # :                          _______________________________________

Received Date :                    _______________________________________

Tracking No. :                        _______________________________________

Comments :                           _______________________________________

                                                _______________________________________

                                                _______________________________________

                                                _______________________________________

Comments  _________________________

                                                                                                       Approved By : _________