Return Material

(CDI use only)

Authorization Request

RMA Number: __________

(256) 772-3829 x206 FAX (800) 351-5167

Date Rcvd: ____________

rma@cdielectronics.com

Warranty □ R&R □

RETURN PARTS TO:

1. Complete this form and click the submit button at the bottom of the page.

CDI Electronics

2. CDI will assign you an RMA number and e-mail this number to you.

RMA# ___________

3. Ship your parts to the address on this form. Ensure that your RMA number is

111 Commerce Circle

located in your address as shown and that the parts listed on this request

Madison, AL 35758

are the parts that you return to us. Failure to comply will result in delays.

CDI Electronics is not responsible for items lost or damaged during shipping.

Your Name/Company Name:

Acct #:

Address:

City:

State:

ZIP:

Contact:

Phone:

Distributor Name:

State:

E-Mail Address:

Warranty is from date of purchase with a receipt and from date of manufacture without a receipt. Defective products shall be repaired/replaced at the discretion of CDI Electronics. Be sure that the method of shipping you choose is trackable and that you insure your shipment. Please contact 1-866-423-4832 x206 for assistance.

Enter part numbers below. Each RMA request may contain a no more than ten physical parts.

Part #

Qty

Date Code

Reason for Return

1

2

3

4

5

6

7

8

9

10

Special Instructions

Results (CDI Use Only)

QF311

Rev. 20091111

Previous versions obsolete.

RMA requests submitted using this form are automatically forwarded to the CDI Electronics Returns department.
If you discover and error on your form after it has been submitted please contact our returns department to correct
the error. This form is only an RMA request and in no way guarantees that your parts will be replaced or credited.