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  Request for Exchange Form


* Please complete the form below to commence processing of your request for exchange. Once all valid information is received a Xeltek Representative will contact you and assign you an RMA number before you ship the product(s) you have back to us.


Exchange request will not be processed until one of two items listed below is received. Invalid input for order number will delay the processing of your exchange request form. The order id or invoice/receipt is used to determine whether you still qualify for our 30 day exchange policy.

If your product is purchased from Xeltek USA please input your order number from time of purchase. If product is purchased from one of our distributors please fax your invoice/receipt to 408-588-9944.

Order Number:

 

(* are required!)

First Name: *

Last Name: *
Phone: *
E-mail: *

Programmer Model(s):
Accessories:
Quantity:
 
Adapter Model(s):
Quantity:
 
Other(s):
Quantity:
 
Reason for Exchange: Explain reason for exchange & product model that you want in exchange

 

 
 
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