Return Materials Acceptance

This form must be filled in and a return number must be issued to you from Ship Equip before you return a part which you believe is covered by guarantee or for other reasons believe must be repaired or asessed by Ship Equip.

Contact Information

I am a: *

Company: *

Contact person: *

Telephone: *

E-mail *

Antenna System Type: *

Vessel name: *

Service / Ticket number: *

Shipping Address (Only for shipment of replacement parts to a different address than company address)

Region

Company / Vessel:

Address 1:

Address 2:

Zip Code:

City:

Country

Agent Company *

Agent Contact Name *

Agent e-mail: *

Agent phone: *

Parts Information

Units to return: *

Part 1:

Part number:

Part name: *

Serial number:

Part status: *

Faulty Working

Error description if faulty

Part condition: *

New Used

Send me replacement part? *

Yes No

Part 2:

Part Number:

Part Name: *

Serial Number:

Part status: *

Faulty Working

Error description if faulty:

Part Condition: *

New Used

Send me replacement part? *

Yes No

Part 3:

Part Number:

Part Name: *

Serial Number:

Part Status: *

Faulty Working

Error description if faulty:

Part Condition: *

New Used

Send me replacement part? *

Yes No

Part 4:

Part Number:

Part Name: *

Serial Number:

Part status: *

Faulty Working

Error description if faulty:

Part condition: *

New Used

Send me replacement part? *

Yes No

Part 5:

Part Number:

Part Name: *

Serial Number:

Part status: *

Faulty Working

Error description if faulty:

Part Condition: *

New Used

Send me replacement part? *

Yes No

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支持

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Return Materials Acceptance