Wildlife Materials - Wildlife Research - Return Materials Authorization

Return Materials Authorization
In order to help us process your repair in a timely manner, please fill out this form, print the resulting confirmation page, and enclose it with your equipment for repair. Note: All questions may not be applicable to your situation, however, fill in as much as you can so that we may be best prepared to meet your needs.
Customer Information
First Name:		Last Name:
Address:		Cust. Code:
		Cust. Type:
City:		State:	Zip:
Country:		Email:
Daytime Phone:

Equipment Being Returned
Please fill in the following sections depending on whether you are sending in Transmitters, Receivers, or Other Equipment.
Transmitters:
Quantity needing Repair:		Model:
Reason for return:		Battery Change Refurbish Other: describe in comments area below
Comments: Enter any relevent info about the problem here.
Receivers:
Quantity needing Repair:		Model:
Reason for return:		Battery Change Refurbish Other: describe in comments area below
Comments: Enter any relevent info about the problem here.
Other Equipment:
Items needing repair:
Comments: Enter any relevent info about the problem here.

Payment Information
	Please call me with an estimate before repairing my equipment. I understand that estimate fees ($60/receiver or $7.50/transmitter) will apply if I choose not to have my equipment repaired.
	I don't need an estimate, simply repair my equipment.
Please select your preferred payment method. Note: We will call you as soon as the cost of repairs has been determined.
	Credit Card
	Check or Money Order
	C.O.D (an extra shipping charge will apply)
	This should be covered under warranty. Please call if it is not.

	Wildlife Materials, Inc. 1202 Walnut Street Murphysboro, Illinois 62966 USA FAX -- 618-687-3539 PHONE -- 618-687-3505 U.S.A. -- 1-800-842-4537 CANADA -- 1-800-626-2704 EMAIL -- sales@wildlifematerials.com
Copyright 2008, Wildlife Materials, Inc., Warranty Information