Australian Music Imports

AMI/Dealer RA# Request

	ALL FIELDS MUST BE FILLED IN. RA REQUESTS WILL NOT PROCEED WITH MISSING INFORMATION ONE ITEM PER RA# FORM FREIGHT WILL BE CHARGED TO CUSTOMER IF DEEMED NON-WARRANTY PLEASE ENTER YOUR PICK UP ADDRESS ** PLEASE ENSURE THAT GOODS ARE BOXED AND READY TO BE SHIPPED BEFORE YOU SUBMIT YOUR RA
	Customer Details
Date (*)	Invalid Input
Store Name (*)	Invalid Input
Store Address (*)	Invalid Input
Store Contact (*)	Invalid Input
Store PH (*)	Invalid Input
Store Email (*)	Invalid Input
	Item for RA# Request
Item Brand (*)	Invalid Input
Item Model Code (*)	Invalid Input
Item Common Name (*)	Invalid Input
Item Colour (*)	Invalid Input
Item Serial# (*)	Invalid Input
AMI Invoice No. (*)	Invalid Input
Type of Purchase (*)	Consumer PurchaseShop Stock Invalid Input
Receipt #	Invalid Input
Date of Purchase	Invalid Input
Action Requested	CreditReplaceRepair Invalid Input
Problem details/reason for return (*)	Invalid Input
Anti Spam	Invalid Input
	Please note, any request form filled out missing any information (except in the case of shop stock where customer information is not needed) will be rejected. A copy of your RA form must be sent along with the returned goods or they will sent straight back to you at your cost.

Customer Details