— 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: OperationSoftware DownloadFirmware Download
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: YesNo
If returned item is not configuration controlled, is ECN update to latest released versions allowed: YesNo
Is the hardware to be returned classified or contain classified information: NoYes
If government property, property tag information:
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.
