Rma Form.doc

ALTHON MICRO, INC. 280 S. PASEO TESORO RETURN WALNUT, CA 91789 TEL (909) 594-3128 FAX (909) 594-9771

Name: Address: City:

MERCHANDISE AUTHORIZATION FORM

Yonar Herrera a&d express 8417 nw 68th street

Date:

Miami

Telephone #:

State: 7863154600

13 july 2018

Florida

Fax#:

Zip Code: Email:

33166-2635

[email protected]

Type of Return: [ x ] Repair/Replacement

QTY

1

PRODUCT NAME

Sapphire Nitro+ RX470 8GB

PN 2991E347000SA

SERIAL # A163200018594

SKU # 11256-02

DESCRIPTION OF PROBLEM

Was playing and I blinked the screen, turned blue and rebooted the pc and stopped showing video, Check and test all the components of my computer and work perfectly

Additional Comments:

FOR OFFICE USE ONLY RMA #:

Date Issued:

Issued by:

Date Received:

Received by:

Date Closed:

1