Step #1 Please complete the following information for requesting return of any item/product to KIP America.
Company Name:
Customer Contact:
Email:
Phone:
Fax:
Company Address:
Suite Floor:
City:
State:
Zip Postal Code:
Machine Model:
Machine Serial:
IPS Serial:
Current Meter on Printer:
Unit of Meter:
Printer Install Date: [MM/DD/YYYY]
Step #2
Please read and complete the following.
Request for RA must be submitted to KIP America within 14 days of the item’s invoice date. After 14 days a 15% restocking charge may apply or the RA may be denied. Please see the KIP America Equipment Warranty for the warranty details and warranty period (90 days). The customer is responsible for all freight and shipping charges. This RA request must be accompanied by a valid invoice / picking slip number. Please only use one form per KIP invoice/packing slip.
KIP Invoice / Packing Number:
Invoice / Packing Date: [MM/DD/YYYY]
Item #1 Number :
Quantity of #1:
Description of #1:
Item #2 Number:
Quantity of #2:
Description of #2:
Item #3 Number:
Quantity of #3:
Description of #3:
Item #4 Number:
Quantity of #4:
Description of #4:
Step #3 A detailed explanation for the return. ( please include all details ):
Detailed explanation:
Step #4 Please complete the following
Sample prints must be included with some returned items. This includes all equipment, optical assemblies,CIS, LED, developer parts or assemblies, drums, and PCBs. Returns can be denied without sample prints. Please also note that large or heavy items that can be damaged in transit, such as optical assemblies or developer assemblies should be secured to a pallet, or other means, to prevent any damage in shipment. KIP is not responsible to any return transit damage.
Sample prints included:
 Yes No
Completing the above information does not guarantee credit or that KIP wishes for the item’s return. A Return Authorization Form with a valid RA Number will be faxed to you if the RA is approved. You will be contacted if further details are required by KIP America. Please help prevent any delays in processing of the RA due to an incomplete Request Form. Please do not ship any item unless accompanied by a valid RA Number (supplied by KIP America). Thank you!