Product Claims Form * REASON FOR RGA REQUEST: RETURN (RESTOCKING FEES MAY APPLY)WARRANTY SUBMITTED BY: SITE CONTACT: IS REPLACEMENT ORDER NEEDED?: YES (PLEASE PROVIDE SHIPPING ADDRESS)NO RGA #1 DETAILS: * REASONS (PLEASE CHECK ALL THAT APPLY) ARRIVED DAMAGEDCANCELLED ORDERDEFECTIVE AUTOTESTDEFECTIVE BALLAST/DRIVERDEFECTIVE BATTERYDEFECTIVE CHARGER BOARDDEFECTIVE CIRCUIT BOARDDEFECTIVE LED STRIPDEFECTIVE OPTICAL LENSDEFECTIVE TEST SWITCHDEFECTIVE TRANSFORMERDUPLICATE ORDERJOB CHANGE/PRODUCT NOT NEEDEDPRODUCT ORDERED INCORRECTLYRECEIVED INCORRECT COLORRECEIVED INCORRECT GOODSRECEIVED INCORRECT QUANTITYSHIPPED TO INCORRECT LOCATIONSHIPPED PRIOR TO RELEASE DATESAMPLES RETURN ATTACH PHOTOS/FILES:
