Service Desk

— Incomplete forms will delay the processing of your request. —

Email (required):

Customer or Company Name: (required)

Ampex Part #:

Ampex Serial #:

Reason for return:

Problem occurred during:

Ampex engineer / technician contacted to discuss problem, if applicable:

If returned item is not configuration controlled, is update of S/W & F/W to latest released versions allowed:

If returned item is not configuration controlled, is ECN update to latest released versions allowed:

Is the hardware to be returned classified or contain classified information:

If government property, property tag information:

Name:

Phone:

Name:

Phone:

Company:

Address:

City:

State:

Zip Code:

Country:

Attn Name:

Attn Phone Number:

Return shipper (The Ampex default shipper is Federal Express):

Once you submit this form, we will issue you with an RMA number and send it to you with instructions on shipping the material.

DistribuTech