Innovative Ballast Engineering / LED Driver......With A Payback.
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RMA Worksheet
Fixture Manufacture:
Date: 3/13/2010 6:34:50 AM
Customer Name:
Customer Contact:
Address:
City:  
State:   Zip:
Email:
Phone:
Fax:
Job Name:
Job Location:
Site Contact:
Address:
City:  
State:   Zip:
Phone:
Model #:
Batch #:
Total Installed at Site:
Amount of Returns:
# of Lamps Operated by the Ballast:
Date Install at Site:
Lamp Wattage:
Voltage:
Sensor or Lighting control or emergency ballast are used:
Lamp Brand:


Lamp Type:



Describe Problem:







Any Additional Details:
 
 
 
HOME | PRODUCTS | PRODUCT FINDER | PRODUCT SEARCH | NEW PRODUCTS | SITE MAP
WARRANTY POLICY | RETURN MATERIAL REQUEST | THE AC DIFFERENCE 
CORPORATE INFORMATION | COMMON QUESTIONS ABOUT BALLASTS | INQUIRY FORM

3401 Avenue D
Arlington, TX 76011
1-800-375-6355


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