| PACIFIC COMPUTERSUPPLIES | RMA | ||||||||
| PHONE: 1-877-787-3777 Fax: 1.866.230.9600 PHONE: 604-987-1900 | FORM | ||||||||
| 1005 CORTELL ST, NORTH VANCOUVER, BC. V7P 2A2, CANADA | |||||||||
| COMPANY INFORMATION | |||||||||
| LEGAL BUSINESS NAME: | |||||||||
| BILLING ADDRESS: | |||||||||
| SHIPPING ADDRESS: | |||||||||
| PHONE NUMBER: | FAX NUMBER: | ||||||||
| RMA REQUEST ITEMS | |||||||||
| ITEM DESCRIPTION | QUANTITY | SERIAL NO# | INVOIVE NO# | INVOICE DATE | ACTIVATION CODE | ||||
| I ... ..On behalf of ... .. Hereby request a RMA for the above mentioned | |||||||||
| products and I guarantee that the above mentioned products have not been activated since the date of | |||||||||
| purchase (upon verification of activation through the software manufacturer's activation department) | |||||||||
| In the event that the software has been activated after it had been purchased from Pacific Computer Supplies: | |||||||||
| Our company ... .. agrees to pay the amount of $ 1000 per item plus the cost of a new | |||||||||
| software within 5 business days as compensation to Pacific Computer Supplies Inc for making the | |||||||||
| false statement. | |||||||||
| I also acknowledege that our company ... .............. may also be the subject of legal action. | |||||||||
| PRINT YOUR NAME: | |||||||||
| POSITION: | |||||||||
| DATE: | |||||||||
| SIGNATURE: | 5-Dec-07 | ||||||||
| RMA number will not be issued if any of the necessary field has been left blank | |||||||||