Request for Return

Every return requires a Return Merchandise Authorization (RMA) number. To obtain an RMA number, use the form below and submit it to us for review. Customers must fill out this form completely. Upon receipt of this form a Regency Technologies employee will contact you with an RMA number. Regency Technologies will NOT accept a return without an RMA number. Warranty work will only be completed if a valid warranty card is on file.

Once you receive your RMA number, ship the product back to Regency Technologies (you pay the freight) with all components packed securely. The RMA number must appear on the outside of your box for our shipping department to process your return. Regency Technologies will repair or replace the product (at our discretion) and ship it back to you (we pay the freight) within two business days of initial processing of the RMA.

Ship to:
Regency Technologies RMA#_____________
6111 Cochran Road
Solon, Ohio 44139

Company Name
Contact Name
Phone Number
Email Address
Return to Address
City
State
Zip
Where did you make your purchase?
	Online from Regency Technologies' Website
	Online from eBay
	Directly from Regency Technologies
	Sales Representative Name
	Retail Outlet
	Retail Outlet Name
Return request for	Repair
	Replacement
	Credit
	(Final determination will be at the discretion of Regency Technologies)

ST/Invoice No. (from packing slip)	Online Order No. or eBay Auction No.	Serial No.	Inventory ID or PT ID & PD Line	Manufacturer or Model	Reason for Return (Please give details)

PLEASE NOTE: If The Information Given On This RMA Form Is Incomplete Or Does Not Match Our Records, Regency Cannot Process Your RMA. Please Make Sure All Information Is Complete And Accurate Before Submitting This Form. If You Are Unsure If Your Information Is Complete And Accurate, Contact Our Customer Care Number @ 440.248.3991 Option 1 Then Option 1 Again.
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