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Repair Request

   

 
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* Indicates required fields

To receive a Return Materials Authorization (RMA) Number to return your Symmetricom product for repair, please provide us with the following information:

* Technical Contact Name
* Company
* Phone
* Email
Billing Address:
* Attention
* Number/Street
City
* State/Province
* Zip / Postal Code
* Country
The Product Information:
* Product Model / Description

Symmetricom Part Number
* Serial Number
Failure Code
* Brief description of failure or problem symptoms
Attachments related to the repair
Was this unit Dead on Arrival/non-functional at installation?
Yes
No
Have you spoken to Technical Support on this issue?
Yes
No
Do you have a Service Contract?
Yes
No
Service Contract Number
Address to which you would like repaired unit returned:
Attention
Street Address
Street Address (Cont)
City
State
Zip / Postal Code
Country
For non-USA customers, additional information required to process international repair requests
End User Name
Street Address
Street Address (Cont)
City
State/Province
Zip/Postal Code
Country
If product to be repaired is any model of Cesium Clock or cesium standard, provide original U.S. Export License Number under which you purchased the item.
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