RMA Request Form

  Defective product: 
    
 
 Serial number (Mandatory): 


Problem, question or comments to our engineers and technicians:


How can we contact you?
 Company: 
 First name:
 Last Name:
 E-Mail:
 Phone #: X.
 Address:
 Address 1:
 City:  
 Province/Territory:
 Postal Code:  

Secondary contact?
Useful if we can't contact you...!

 Name:
 Phone #: X.

An e-mail will confirm your service request. 
Thank you!

  


 

 
Copyright ©2007 Nisha Technologies Inc. All rights reserved.
Nisha Technologies