SRA Form for
3M
Brand *
3M
CHECKLIST
PLEASE DO NOT INCLUDE ACCESSORIES
(remote, power cord, mic, etc.)
PREFERRED CARRIERS
FEDEX or UPS
In Warranty?
In Warranty
Out of Warranty
Model *
--Select a Model--
* Other
C1500SS
C1510PS
C1700SS
C1710PS
C1910PS
C2167PW
C2234SW
C2254PW
C3266PW
C4267PW
C4667PW
C5567PW
C6587PW
CT150
KSP17EUT
M150
M150HB
M150SB
M170
M1700SS
Microtouch
Serial Number *
RMA Number
Purchase Date
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Select a State
Alberta
Alabama
Alaska
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
Newfoundland and Labrador
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Other
Zip *
Email Address *
Primary Phone *
Reason for Repair *
Save Original Box
(Note: If a box is deemed unsafe per carrier specifications, an additional fee will be charged with material costs to return your product)
Method of sending unit ?
DropOff
To Be Shipped
Method of return ?
PickUp
To Be Shipped
I have read the
Terms and Conditions