Exceptional RMA# Request



Request for RMA# for belated Return



Date:______/_____/____________



To: NOVA COMPUTERS



Buyer's Name:

_______________________________________________

Address (bill to:)___________________________________

City_____________State_________________Zip________

Phone:___________________________________________

Email:_____________________________________



Dear Merchant:

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:






I hereby authorize use of my credit card for refunding #

American Express __ Mastercard __ Visa __

cc number:__________________________________________


Expr Date: ____/_____ Security Code______



I agree to pay the restock fee per your policy

Card Holder Name (Print)

_______________________________________________



Card Holder Signature: ______________________________









Driver License #:____________________________ State:____________

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