Return Merchandise Authorization Form Completed forms can be submitted via email to: Europe, Middle East and Africa: Americas: Asia Pacific: Returns.APAC@inmarsat.com SECTION A Contact information – Company Name: Contact Email: Contact Name: Contact Telephone: Customer Account Number: Sales Manager: (Please indicate your Inmarsat Sales Representative) Current region: Europe, Middle East and Africa Americas Asia Pacific SECTION B Customer Shipping Address – Zip code: Company/Vessel: City: Address 1: Country: Address 2: Agent company: Agent email: Agent contact name: Agent telephone: SECTION C information – Part number: Part name: Serial number: Purchase date: IMEI: Firmware version: PART Status: Faulty Working Condition: New Used Send replacement? Yes No 1 Faulty Part Description: (Please provide as much information about the issue as possible, including error messages and symptoms) Part number: Part name: Serial number: Purchase date: IMEI: Firmware version: PART Status: Faulty Working Condition: New Used Send replacement? Yes No 2 Faulty Part Description: (Please provide as much information the issue as possible, including error messages and symptoms) Part number: Part name: Serial number: Purchase date: IMEI: Firmware version: PART Status: Faulty Working Condition: New Used Send replacement? Yes No 3 Faulty Part Description: (Please provide as much information about the issue as possible, including error messages and symptoms) Serial number: Part number: Part name:
Return Merchandise Authorization Form Completed forms can be submitted via email to: Europe, Middle East and Africa: Americas: Asia Pacific: Returns.APAC@inmarsat.com SECTION A – Contact information Company Name: Contact Email: Contact Name: Contact Telephone: Customer Account Number: Sales Manager: (Please indicate your Inmarsat Sales Representative) Current region: Europe, Middle East and Africa Americas Asia Pacific SECTION B – Customer Shipping Address Company/Vessel: Zip code: Address 1: City: Address 2: Country: Agent company: Agent email: Agent contact name: Agent telephone: SECTION C – information PART 1 Part number: Part name: Serial number: Purchase date: IMEI: Firmware version: Status: Faulty Working Condition: New Used Send replacement? Yes No Faulty Part Description: (Please provide as much information about the issue as possible, including error messages and symptoms) PART 2 Part number: Part name: Serial number: Purchase date: IMEI: Firmware version: Status: Faulty Working Condition: New Used Send replacement? Yes No Faulty Part Description: (Please provide as much information the issue as possible, including error messages and symptoms) PART 3 Part number: Part name: Serial number: Purchase date: IMEI: Firmware version: Status: Faulty Working Condition: New Used Send replacement? Yes No Faulty Part Description: (Please provide as much information about the issue as possible, including error messages and symptoms) Part number: Part name: Serial number: