Amptec

Return Authorisation Form

By submitting this form you agree to all our terms and policies explained on the procedure page.

Fields marked with * are required.

Invoice address * Name :
Company :
VAT Number :
* Address :

* Country :
* Phone :
Fax :
* E-mail :

Check here if delivery address is the same as invoice address

Delivery address Name :
Company :
Address :

Country :
Phone :

Product Information * Brand :
* Model :
* Serial Number :
* Warranty : No, warranty does not apply
Yes, I think this repair should be covered by warranty

Purchase date (dd/mm/yy) : (include original invoice)

* Error description :
* Estimate before repair : No, please repair asap
Yes, please send an estimate first (estimate costs may apply)

* Return shipping : Amptec may ship the unit back to me (shipping charges may apply)
I will arrange the pick up myself

I authorise Amptec to contact me via e-mail to receive the latest news and promotions.
I agree to the terms and conditions. Click here to read.

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