Customer Return Form

MAM-A takes pride in the products we sell.  We stand behind our products 100%, and want to know if you have received MAM-A media that does not meet your expectations.  If you believe you have a defective product, please fill in the information below so we can understand the problem.  We want you to be completely satisfied.  Please provide as much information as possible so we can help you quickly.

This information goes directly to MAM-A customer support and will be sent to your reseller or distributor.  If a refund is needed, it must be obtained from your place of purchase.  Do not return media without a Return Materials Authorization (RMA) number.  We are an ISO 9001:2000 certified facility and will not accept unauthorized returns.

Once you hit the "submit" button below, we will respond within 2 business days.
Type of Media:
Reflective Layer:
Size:
Description of the problem:
Error messages reported by the equipment:
Serial (lot) number from the center of failed disc:
                                                * Example of Serial (lot) Number
MAM-A Part number (Item number):
Box ID number: (located in the upper right corner of the front of the shipping carton)
Brand name of burner:
Model number:
Firmware:
                                                **How to Find Drive Model and Firmware**
Burn Speed:
Computer Operating System
Software and Version: (e.g. Nero, Roxio, Toast):
                                                               Date Purchased:
Month:
Day:
Year
Where Purchased:
Quantity Purchased:
Quantity Defective:
Sales Person

Your Company Name:
Position:
First Name:
Last Name:
Shipping Address:
City:
State
Zip/Postal Code:
Country
Telephone Number:
Fax:
E-mail: (We will not use your e-mail for purposes other than correspondence regarding this form)
Re-enter E-mail:
Please let us know how you think we can improve our products and service by making additional comments below:
Note:  This information goes directly to MAM-A customer support and will be sent to your reseller or distributor.  If a refund is needed, it must be obtained from your place of purchase.

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