Two-Way Radio Service Form

Multec Communications	Ship To: Multec Communications 319 Centre Ave. #166 Rockland, MA 02370 Attn: Warranty Service Dept.
2-Way Warranty Service Form


Please fill out form, print and include/ship with your unit.
Ship unit prepaid and insured via UPS or any shipper using a tracing or tracking system. All shipping charges are customer's responsibility and will not be reimbursed.
Pack Unit carefully!! It should be able to withstand a 3-4 foot drop onto concrete!
Warranty repair units require a dated proof of purchase/receipt (copy OK) and must have been originally purchased from Multec Communications / www.rfwiz.com. Note: Some warranty units may require factory return. Payment information below is only for return shipping and insurance charge. You will not be billed for parts or service.

Warranty Service Return Shipping Payment Information
Credit Card Number	Exp Date & CVV #	Name as Appears on Card


Please provide the following contact/return shipping information:
Last Name		First Name
Organization
Address 1
Address 2
City		State/Prov
Zip/Postal		Country
Work Phone		Home Phone
E-mail		FAX


Please provide the following Unit information:
Manufacturer	Model Number	Serial Number

Accessories Included
Date of Purchase	mm/dd/yy

Note: Please include credit card receipt, invoice, packing slip or order number for verification.

Please Describe Problem/Warranty Service Required:

Note: Form is PRINTED ONLY...No information is sent or stored.
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Multec Communications