Add EarthScope RMA Form
*
Required fields.
Contact Information
Name:
*
* required
Email Address:
*
* required
Owner of Equipment:
*
* required
Ship Date to UNAVCO:
*
* required
* mm/dd/yyyy format
Receiver/Antenna Information
Manufacturer:
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--Select One--
Ashtech
Hughes
Proxicast
Septentrio
Topcon
Trimble
Other
* required
Model Type:
*
--Select One--
NetR8
NetR9
NetR9
PolarRx5
R7
5700
GB1000
Antenna
VSAT ODU
VSAT IDU
CDMA
WXT510
WXT520
Other
* required
* required
Model Number or Part Number:
*
* required
Equipment or Part Serial Number:
*
* required
UNAVCO ID:
Other ID:
Should data be downloaded (NetRS only):
*
--Select One--
Yes
No
* required
Date range for the data download:
Equipment Site Information
Site ID:
Failure Date:
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Removal Date:
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Relevant site specific information that may cause equipment failure:
*
* required
Equipment Problem:
*
--Select One--
Constant boot
Dead LED
Can not change IP address
Will not track satellites
Degraded QC
Will not power up
Silicon Systems card
Dead port
Other
* required
Details of the problem:
*
* required
Shipping info (carrier, tracking no):
Return Shipping Charge Number:
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