RMA Request Please fill out the form as best as possible to request a Return Material Authorization (RMA). RMA Request Company Name Contact Name Shipping Address (Where Parts will be Shipped) Shipping Address Line 2 City and State Shipping Postal Code / ZIP ShippingCountry Billing Address Billing Address Line 2 City and State Billing Postal Code / ZIP BillingCountry Aircraft Operator Phone Number Email Address Best way to contact you Best way to contact you Email Phone Comments Shipping Carrier Shipping CarrierUPSFEDEXOther Account Number Method of Payment Purchase Order Number Aircraft Make/Model Aircraft Registration #/Seriel # Aircraft Serial # Qty of Items Part Number Serial Number Service Required Service RequiredModificationMod RepairUnit RepairOther 8130-3 Required 8130-3 Required Yes No Details, Discrepancies…etc. Add a Second Item Add a Second Item Yes No Aircraft Make/Model (2) Aircraft Registration #/Seriel # (2) Aircraft Serial # (2) Qty of Items (2) Part Number (2) Serial Number (2) Service Required (2) Service Required (2)ModificationMod RepairUnit RepairOther 8130-3 Required (2) 8130-3 Required (2) Yes No Details, Discrepancies…etc. (2) Add a Third Item Add a Third Item Yes No Aircraft Make/Model (3) Aircraft Registration #/Seriel # (3) Aircraft Serial # (3) Qty of Items (3) Part Number (3) Serial Number (3) Service Required (3) Service Required (3)ModificationMod RepairUnit RepairOther 8130-3 Required (3) 8130-3 Required (3) Yes No Details, Discrepancies…etc. (3) 14 + 5 = Submit RMA Request Contact REBTECH 1500 Brown TrailBedford, Texas 76022817-285-7740