RMA ISSUED
     ASI CUSTOMER SERVICE DEPARTMENT
Your phone: Fax:
E-Mail Address:
Requested by
(your name)		 DATE:
To obtain a cross-shipment this form must be completed and faxed to  510-657-3043
REQUEST FOR CROSS-SHIPMENT
Note: Only items purchased from ASI directly within 30 days of Customer's Invoice date qualify. Cross-shipments are not available on Net Terms basis and may only be provided to customer using credit card.
      We, , received a defective product on invoice No.
and hereby request that ASI cross-ship us the following item.
All Cross-ship will be shipped via UPS or FedEx Ground unless otherwise requested by customer. Note: Customer must pay for difference in shipping cost if requesting next day or 2nd day delivery. Please specify if you request shipment other than UPS Ground.
Write your ship to address here
TECH CASE #
ASI ITEM # QUANTITY REASON FOR CROSS-SHIPMENT
(PROBLEM DESCRIPTION)		 SERIAL NUMBER
fully understand and agree to the following cross-shipment terms/conditions from ASI
1. ASI will charge my credit card account for the full value of cross-shipment upon shipping out.
2. Defective items under cross-shipment need to be returned to ASI within 10 days from the date of cross-shipment for immediate credit.  Items received after 10 days will be charged a 15% restocking fee, and no credit will be issued for items received over 30 days from date of ASI customer original invoice date.
3. In the event that the items returned under cross-shipment are tested good and functional without the claimed defect, ASI has the right to invoice us for the shipping fee incurred in the cross-shipment plus a 15% restocking fee.
4. ASI will only pay for UPS or FedEx Ground rate for the cross-shipment, and customer will pay for the different in rates if shipment needs to be made otherwise.
5. For any physical damaged products , please contact Customer Service.
Credit Card #:M/C or VISA Exp. Date:
Please sign once you have read and agreed to the ASI's cross-shipment terms/conditions.
Signature: Date:
Authorized agent (Print name) :
NOTE: Fill in all above information. If the information is incomplete or does not match our records
this may delay your cross-shipment.


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