RMA - Ordered in Surplus

Please complete the following form to complete the RMA request process. Please wait to receive your RMA number before returning the merchandise.

Company Name *This question is required.

RMA Contact Information *This question is required.

Contact Name
Telephone
Email

Billing Contact Information *This question is required.

Contact Name
Billing Address
Telephone

Is the shipping information different from the billing information?

Shipping Information *This question is required.

Contact Name
Shipping Address
Telephone

Refund Request
Please note that one return of merchandise form must be completed per controller type.
Please note that restocking charges are applicable. Refer to our RMA policy. *This question is required.

Product Name
Product Number
Initial PO Number

Quantity Returned *This question is required. This question requires a valid number format.

Acceptance
I accept Distech Controls' Return of Merchandise Policy and Warranty Statement. *This question is required.

Your Name *This question is required.

Additional Comments