Avalex RMA Form

Product Model(s) *

Product Serial # *

Description of the problem? *

Receive a quote prior to repair? *

Yes No

Credit Card:
If credit card payment is desired please enter your contact information in the "Billing Information" section below and Avalex will contact you to process the payment.

NET 30:
Please complete the "Billing Information" section below. *Not applicable to overseas customers.

Wire Transfer:
If wire transfer payment is desired please enter your contact information in the "Billing Information" section below and Avalex will contact you to process the payment.

*NOTE: ALL OVERSEAS CUSTOMERS MUST PAY IN ADVANCE

Payment Type:

Credit Card NET 30 Wire Transfer WAWF

Company Name: *

Customer Name: *

First Name Last Name

Address Line 1: *

Address Line 2:

City: *

State: *

Zip Code: *

Phone Fax #: *

Send RMA To: *

Billing E-mail Address:

Purchase Order #:

*If Applicable

Is your Shipping info the same as your Billing info? *

Yes No

Company Name:

Customer Name:

First Name Last Name

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Phone Fax #:

E-mail Address:

Attention:

*If Applicable

Shipping Options:

Ship UPS Ground and Add Cost to Invoice Ship via UPS/FEDEX/DHL with Account #

Shipping Account #:

*If Applicable

I authorize Avalex to evaluate the units listed above with the understanding that:

1. Warranty Repairs: Avalex will cover the repair costs and return shipping on units less than one year old. Free shipping is only applicable when shipping UPS Ground on returning a warranted repair. Other shipping methods will be at the Customer's expense.

2. Non-Warranty Repairs: Average repair costs for units older than one year are as follows:

$900.00 for Map Systems, $1,200.00 for Displays, $500.00 for DVRs, and $500.00 for Miscellaneous equipment.

If no fault is found, customer will be charged for testing and troubleshooting labor costs, plus shipping. Labor is $96/hour. The average turn around time for a repair is approximately four to six weeks.

If the ‘Request for Quote Prior to Repair’ option is waived above, I authorize Avalex to make the necessary repairs and bill accordingly once the repair is completed.

When applicable, expediting the repair of an asset is an available option at 25% of the total repair costs (plus shipping). For more information, please contact the Repair Department.

Please ship to:
AVALEX TECHNOLOGIES, INC.
ATTN: REPAIR DEPARTMENT
2665 GULF BREEZE PKWY
GULF BREEZE, FL 32563

Do you agree to the RMA Terms Listed above?

Yes, I agree to the RMA Terms No, I do not agree

Email

example@example.com

Device Details

Payment Info

Shipping Info

Customer Agreement