Get a Quote from Ardent Concepts

RMA-FORM-004 REV A

Please fill out the information below in order to start the return request process.

Company Name(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Return Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Account Method(Required)

Please specify your preferred shipping carrier. NOTE: Amphenol Ardent Concepts ships Ground for domestic shipments unless otherwise specified.

DHL

FedEx

UPS

Other

If you answered "Other" above, please specify:

Shipping Account Number(Required)

Part Number(Required)

If unsure, please type "N/A"

Serial Number(Required)

If unsure, please type "N/A"

Quantity(Required)

Reason for Product Return(Required)

Check here if you are a Reseller

Yes, I am a Reseller

Please upload any relevant files and/or images

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB, Max. files: 5.

Return & Shipping Intake Form