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RMA REQUEST FORM (* Indicates Mandatory Field)

Company Name *
Customer Contact *
Customer Phone Number *
Customer Email Address *
     
Ship to: Street Address  
Ship to: City/Town or Locality  
Ship to: Province or State  
Ship to: Postal Code  
Ship to: Country  
     
Item Number 1
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 2
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 3
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 4
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 5
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 6
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 7
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 8
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 9
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 10
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 11
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 12
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 13
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 14
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 15
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 16
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 17
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 18
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 19
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Item Number 20
Customer Part Number  
Avanex Part Number  
Avanex Serial Number *
Return Category *
Detailed Description *
Service Level *
     
Please attach any files (photo, data etc..) related to this RMA
Select File Attachment:  
   
Click "PREVIEW" to review and confirm all the information you have entered.
After preview, click "SEND" to submit your RMA request to the Avanex RMA Service Center.
 
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