Request for RMA# for belated Return |
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Date:______/_____/____________ |
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To: NOVA COMPUTERS |
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Buyer's Name: _______________________________________________ Address (bill to:)___________________________________ City_____________State_________________Zip________ Phone:___________________________________________ Email:_____________________________________ |
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Dear Merchant: |
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I am requesting an RMA# for the belated return of my merchandise purchased on ............./...../............ Order number................................................I certify under oath the item was sealed, unopened, unused and was exactly the same item shipped from Nova. I have read Nova policy and accept the restocking charge (25-29%) applied to this return. My credit card for the partial refund is provided as follows: |
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I hereby authorize use of my credit card for refunding # American Express __ Mastercard __ Visa __ cc number:__________________________________________ |
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Expr Date: ____/_____ Security Code______ |
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I agree to pay the restock fee per your policy |
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Card Holder Name (Print) _______________________________________________ |
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Card Holder Signature: ______________________________ |
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Driver License #:____________________________ State:____________ |
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Please fill out the form, Sign and obtain notary public certification (at your bank or similar Public Notarizer ) and fax to 1-206-600-4293 Attn: RMA Department |