RMA Form

Please complete and submit this online Return Material Authorization (RMA) form to process your request quickly and accurately. (Note: only one RMA per product return). Please do not return any merchandise without an RMA number issued by Faroudja. Once this information is received by Faroudja, you will be issued an RMA. You may be contacted by Faroudja Technical Support by email or phone in the event additional information is needed or if a remedy to your problem can be provided without the need to return the unit to Faroudja.

First Name:*		Phone:
Last Name:*		Fax Number:
Company:		Purchase Date:
Return Address:		Model Number:*
City:		Serial Number:*
State:	ZIP:	Sources Used:
Country:		Display Used:
E-mail:*		Connection to Display:
Problem Description:*

* Required Fields