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Service Reimbursement

To request a Service Reimbursement, please complete the form below. Upon approval, you will promptly receive an E-mail notification.

SR Number exists, check it and enter it again.
  ( * required fields)
STEP 1: SERVICE PROVIDER INFORMATION
Request Date: 5/8/2024 7:14:18 PM Company:
First Name: * Last Name: *
Email Address: * Reenter Email: *
    Same as the address from left
Shipping Address: *
(No P.O. Boxes)
Provider Address: *
(No P.O. Boxes)
Shipping City: * Provider City: *
Shipping Province: * Provider Province: *
Shipping Postal Code: * Provider Postal Code: *
Shipping Country: * Provider Country: *
Shipping Phone #: * Provider Phone #: *
Shipping Fax #: Provider Fax #:

STEP 2: REIMBURSEMENT INFORMATION

Reimbursement Amount:* 100
Hours Spent at site:*
Service Request Number*
Kingston RMA Number*
Invoice Number*


STEP 3: CUSTOMER CONTACT INFORMATION

Contact Company: *
Contact First Name: *
Contact Last Name: *
Contact City: *
Contact Province: *
Contact Country: *
Contact Phone #: *

STEP 4: PRODUCT DETAIL

(The memory part number can be found on a white sticker on the chip,
usually beginning with a letter "K")
         INSTRUCTIONS

Item Information

  
Quantity
System Manufacturer *
Model (i.e. Presario) *

Select the detailed explanation from the list below *


Customer Comments
(Text below will be truncated to the maximum length 600 characters)

To ensure your request is processed promptly, please ensure that all information is complete and correct. Improper information will delay the processing of your request.


 



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