Welcome to Esprit Systems Inc.

Esprit Systems Return Authorization Form

For U.S. Customers only. All others please call
800-937-7748 x123

If your product is DOA, please contact Esprit Service
by EMAIL or phone at 1-800-937-7748 x123

Serial numbers can be found on the back or bottom of the terminal.

Upon receipt of this form Esprit will fax return authorization number (s) to you as soon as possible.Your RMA number must be clearly marked on the outside of the package or it will be refused. Please pack the product in the original carton as insufficient packaging may cause damage and result in the loss of warranty.

PLEASE NOTE NEW SERVICE RETURN ADDRESS
Please send terminal to:
Esprit Systems
6723 Mowry Ave
Newark, CA 94560

(Please complete multiple forms for more than three returns)

*Items are required**
*Company Name:** :
*Contact Name:**
*Address:**
*City:**
*State:**
*Zip Code:**
*Phone:**
*Fax:**
*Email:**

If contact information is different than above

Form Completed by:
Company:
Phone:
Fax:
Email:

Terminal 1

Model:
*Serial Number:**
*Problem:**
	Warranty Repair: Yes No
	Extended Warranty:

Terminal 2

Model:
Serial Number:
Problem:
	Warranty Repair: Yes No
	Extended Warranty:

Terminal 3

Model:
Serial Number:
Problem:
	Warranty Repair: Yes No
	Extended Warranty: