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Return Merchandise Authorization Form (RMA)
DALTON MEDICAL CORPORATION
4235 McEwen Road, Farmers Branch, Texas 75244
TEL: 469-329-5200 FAX: (972) 386-6615
  1. Include your invoice copy(s) when faxing back the information.
    (We cannot process your request w/o invoice or packing slip with serial number.)
  2. Please keep this form for future references.
  3. When returning merchandise please place a pre-approved RMA# on the outside of your shipping box.
  4. RMA#’s are only good for 30 days from the date it was issued.
Company Name:                                                                Company ID:                          
Shipping Address:                                                                                                         
City:                                   State:                     Zip:                    
Phone Number:                                   Fax Number:                                  
Contact Person:                                      
QTY Item # Reason for Return Serial Number Invoice Number Invoice Date Comments
             
             
             
             
             
             
             
             
             
RMA Policy:
  1. Any descrapancies in shipping order must be reported within  days of receipt of products.
  2. No refund or credit will be issued after  7  days.
  3. All returned merchandise is subject to a  15%  restocking fee.
  4. Defective merchandise under warranty will be replaced or repaired within  15 (working) days  of notification.
  5. Dalton Corp. reserves the option to replace  or  repair defective merchandise.
  6. Due to the health guideline, the following items: Commode, Shower chair, mattress, overlay mattresses, mattress cover, and air mattresses are  not  returnable under any circumstances.
Warranty:
  1. Warranty details are listed on the back of the packing slip and begin the date of the original sales, not from RMA invoice.
RMA Number:                                                                Issue Date: