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Return Materials Notice

Please fill out this form completely and FAX it to Tomtec at (203) 248-5724,
prior to shipment. Please use this form as your Cover Page.

To: The Tomtec Service Department

From: ______________________________

Company: ___________________________

Pages: _____________________________

Phone: ______________________________

Date: _______________________________

Fax: ________________________________

Re: RMA #: __________________________

The following item(s) are being returned:

Item	Model # / Part #	Serial Number	Model # / Serial # of Originating Device
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________
_______	______________	____________	________________________________

Any questions regarding this form or the return of materials to Tomtec should be addressed to
the Service Department at (203) 281-6790.
go back to Customer Service page