Return Merchandise Authorization Number Request Form


To request a Return Merchandise Authorization (RMA) number, please review the RMA policies at and complete this form and fax it to (510) 933-1204. ATACOM RMA Department will issue an RMA number based on the information contained in this form. Notification of the RMA number will then be faxed to the fax number or e-mail to the e-mail address you provided.

Print All Field


Customer Name*:___________________ Company Name: _____________________
Phone Number*: ___________________ Evening Phone Number:_______________
Fax Number: ______________________ E-mail Address*:______________________
Address: ______________________________________________________________
Sales Order No.*: __________________ Order Date :____/____/________


Item Description:

Serial Number*:

Detail Problem Description:


Receive RMA Number: Fax E-mail

Action Requested*: Replacement Refund

For ATACOM, INC. RMA Dept. Use Only
RMA #: ______________ Issued By: ______________ Date: _________ Valid Through_________

RMA Policy:

  • Customer is responsible to determine whether a product is defective. It is very costive to diagnose each merchandise. A $19.95/hr Diagnostic fee and handling will be charged for non-defective product.
  • An RMA number is valid for 10 days.
  • CPUs MUST received by ATACOM, Inc within the warranty period.
  • A 15% process fee based on current item price will be charged on all returned product. Credit Money= Current Updated Price X 0.85 .
  • NO REFUND OR TRADE IN for CPU and Memory.   Only replacement with the same model
  • ATACOM, INC. is responsible to replace a defective item by UPS ground.
  • No advanced replacement.
  • Detail policy is listed at our website at


I have read and agree to the policies stated above




Print Name*:________________

Signature*: _________________________

Date*: ___/___/___

All * is required for RMA request to be processed.