MiniPocketRockets - RMA Department P.O. Box 130 Temple City CA 91780

ORDER NUMBER EMAIL ADDRESS

SHIP TO:

NAME ADDRESS CITY, STATE and ZIP

PRINT RMA FORM

RMA FORM

Every shipment that leaves our facility is fully insured, we will send you out the necessary part(s) FREE of charge after this form gets approved by our Investigator. Please fill out this form, print it out and mail it to the RMA Department address you see above. ( ALL FIELDS MARKED IN RED MUST BE FILLED OUT COMPLETELY AND ACCURATELY to avoid any potential delays ). This RMA Form must be SIGNED by the customer before it can be reviewed.

DATE ORDERED  DATE RECEIVED  VEHICLE MODEL  COLOR  PART(S) NEEDED  TRACKING #  TELEPHONE #

By signing this Form, I certify under Penalty and Perjury that all the above information listed is true, and the requested part(s) that I have listed arrived to me in inoperable condition. I also certify that I, or anyone else, am not in any way responsible for causing the failure of the requested item(s).

___________________________________________________

Signature                                                                                        Date

NOTE: MAIL RMA FORM THRU US POSTAL (USPS) WITHOUT SIGNATURE CONFIRMATION. SIGNATURE CONFIRMATION MAY CAUSE DELAYS, AS COURIER NEEDS TO SCHEDULE DELIVERY. NOTE: TO EXPEDITE THE TIME FOR RECEIVING YOUR REQUESTED PART(S), THE PART(S) IN QUESTION SHOULD BE SENT BACK ALONG WITH THIS FORM. FORMS RECEIVED WITHOUT RETURNED PART(S) WILL NEED PRIOR APPROVAL FROM US.

***** FOR OFFICE USE ONLY ***** Findings:  Investigator ID Number :  Date of Investigation  : Reasons :  Circle One :   Approve     Decline

MiniPocketRockets  |  PO BOX 130  |  TEMPLE CITY CA 91780