Return Material Authorization (RMA) Request Form Site Information Company Name* Point of Contact* Point of Contact Phone* Point of Contact Email* Address 1* Address 2 City* State* Country* Postal Code* Defective Product Information Gatekeeper Product Number* Gatekeeper Product Name* Gatekeeper Product Serial Number* Reasons for Return (check all that apply) DOA/DefectiveWrong ItemDamagedOther (specify below) Detailed description of defect: Troubleshooting steps taken: Δ
