RMA (Return Merchandise Authorization) Request Form

First Name
Last Name
Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
E-mail

Date of Purchase
Sales Order Number:
Part No.(s) for item{s) being returned
Cellular Phone Make/Model

Battery won't hold a charge
Battery won't attach to phone
Battery is not recognized by the phone
Battery will not power up the phone
Battery will not take a charge
Battery Vibration function is not working
Battery is not compatible with my phone
Battery housing/casing is defective

Item received is the wrong item
Item was physically damaged upon receipt 
Accessory does not fit my phone
Accessory is not functioning properly
No problem, I'm simply not satisfied