RMA Form - MyLithiumBattery

Warranty
Return or Repair Request

Are you :* Customer Distributor Other First Name:* Last Name:* Company Name	Address 1:* Address 2: ZIP Code:* Country:* Phone number:* Email:*

RMA Product Details Order number:* Product code or name:* Purchase date:*	Problem description:*

Reason of Product Return ?* Order Cancellation (max 14 days after delivery date): I want a refund. My product is covered by warranty: i want a repair or a replacement. My product is no longer covered by warranty : i want a repair quote. Other	More Information: