1. Please complete all information below. Incorrect Information submissions could result in delays of the RMA process.
2. Please be sure to give a clear and specific description for each return item listed below.
3. Check "Non-Warranty Repair" where applicable (see below).
4. Upon completing this form, an email will be sent to you with a completed RMA form attached.
5. Please be sure to read and follow the instructions emailed to you - this will ensure a complete and accurate shipping process.
Name  
 
Address  
 
City   State   Zip Code  
     
Company  
 
Phone #   Fax #
   
Email  
 
Name  
 
Address  
 
City   State   Zip Code  
     
Company  
 
Phone #   Fax #
   
Email  
 
Item # 1
Non-Warranty Repair
Model/Kit #     Serial #  
Invoice #     Invoice Date
 
Description  
 
Item # 2
Non-Warranty Repair
Model/Kit #     Serial #  
Invoice #     Invoice Date
 
Description  
 
Item # 3
Non-Warranty Repair
Model/Kit #     Serial #  
Invoice #     Invoice Date
 
Description  
 
Item # 4
Non-Warranty Repair
Model/Kit #     Serial #  
Invoice #     Invoice Date
 
Description  
 
Additional Comments

 
Contact Support Information
support@vigilantvideo.com