RMA - Supplier Shipping Order Entry Error

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

Replacement Request
Please note that one return of merchandise form must be completed per controller type.
In order to receive a replacement, you must provide a new PO number for products you wish to get in exchange along with this form. Replacement charges applicable (please refer to RMA policy). This RMA will not be processed until a new PO has been received by Distech Controls. *This question is required.

Product Name
Product Number
Initial PO Number
New PO Number

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

Select the reason(s) for your RMA

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

Your Name *This question is required.

Additional Comments