SRA Form for
ADAMHALL
Brand *
ADAMHALL
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--
EBS-BH
EBS-BL-IQ
EBS-BL-MC
EBS-BL-OC
EBS-BSD
EBS-BSS
EBS-BSU
EBS-C112
EBS-C210
EBS-C212
EBS-C410
EBS-C810
EBS-CL500
EBS-DMC
EBS-DP
EBS-DVSE
EBS-FAFNER II
EBS-HD360LTD
EBS-MA10
EBS-MA15
EBS-MAGNI 500
EBS-MB3
EBS-MDSE
EBS-MTSE
EBS-N112
EBS-N115
EBS-N210
EBS-N2108
EBS-N212
EBS-N2128
EBS-N410
EBS-N4108
EBS-N810
EBS-NEO210
EBS-OC-BL
EBS-PL115
EBSPL210
EBS-PL410
EBS-RD500
EBS-RD502
EBS-RD750
EBS-REIDMAR 502
EBS-REIDMAR 750
EBS-RETRACER
EBS-S120
EBS-S30
EBS-S60
EBS-SC
EBS-TD
EBS-TD650
EBS-TR
EBS-UCSE
EBS-VD
EBS-WHA
Envoi
FAFNER TD600
LD-MAUI 28G2
LDMAUI28G2UC
LDMAUI5
LDS Dave 18G3
LDS STINGER 8 AG3
LDS-CURV500AVS
LDS-CURV500AVSW
LDS-CURV500CABLE1
LDS-CURV500CABLE2
LDS-CURV500CABLE3
LDS-CURV500CMB
LDS-CURV500CMBW
LDS-CURV500DB
LDS-CURV500DBW
LDS-CURV500DSAT
LDS-CURV500DSATW
LDS-CURV500ES
LDS-CURV500IAMP
LDS-CURV500ISUB
LDS-CURV500ISUBW
LDS-CURV500PES
LDS-CURV500PS
LDSCURV500S
LDS-CURV500S2
LDS-CURV500S2W
LDS-CURV500SATBAG
LDS-CURV500SE
LDS-CURV500SLA
LDS-CURV500SLAT
LDS-CURV500SLAW
LDS-CURV500SLAWT
LDS-CURV500SSB
LDS-CURV500STS
LDS-CURV500SUBPC
LDS-CURV500TMB
LDS-CURV500TS
LDS-CURV500TSCB
LDS-CURV500TSDB
LDS-CURV500TSSATBAG
LDS-CURV500TSSUBPC
LDS-CURV500WMB
LDS-CURV500WMBL
LDS-CURV500WMBLW
LDS-CURV500WMBW
LDS-DAVE8ROADIE
LDS-DAVE8SET1
LDS-DDQ SUB18
LDS-DDQ10
LDSDDQ15
LDS-DSP44K
LDS-DSP45K
LDS-EB102AG3
LDS-EB102G3
LDS-EB122AG3
LDS-EB122G3
LDS-EB152AG3
LDS-EB152G3
LDS-EB152G3PC
LDS-EB282AG3
LDS-EB282G3
LDS-EB82AG3
LDS-EBG3TMB
LDS-ESUB15AG3
LDS-ESUB15G3
LDS-ESUB18AG3
LDS-ESUB18G3
LDS-ESUB18G3CB
LDS-ESUB18G3PC
LDS-FX300
LDS-HPA1
LDS-HPA4
LDS-HPA6
LDS-ICOA SUB18A
LDS-ICOA12A
LDS-ICOA12ABT
LDS-ICOA12PC
LDS-ICOA12PC2
LDS-ICOA15A
LDS-ICOA15ABT
LDS-ICOA15PC
LDS-ICOA15PC2
LDS-ICOASUB15A
LDS-IEHP1
LDS-IO2
LDS-LD MAUI28MIX
LDS-LD MAUI28MIX SUB
LDS-LDGTSUB18A
LDS-M11G2SATBAG
LDS-M11G2SUBPC
LDS-M28G2
LDS-M28G2CB
LDS-M28G2SATBAG
LDS-M28G2SUBPC
LDS-M44G2CB
LDS-M44G2SATBAG
LDS-M44G2SUBPC
LDS-M5SATBAG
LDS-M5SUBPC
LDSMAUI P900
LDS-MAUI11G2
LDSMAUI11G2SUB
LDS-MAUI11G2UC
LDS-MAUI11G2W
LDS-MAUI28G2
LDS-MAUI28G2 LC
LDS-MAUI28G2UC
LDS-MAUI28G2W
LDS-MAUI44G2
LDS-MAUI44G2SUB
LDS-MAUI44SUB
LDS-MAUI5
LDS-MAUI5GO
LDS-MAUI5GO100
LDS-MAUI5GOBC
LDS-MAUI5GOBCW
LDS-MAUI5GOCD
LDS-MAUI5GOW
LDS-MAUI5W
LDS-MAUIP900 B
LDS-MAUIP900 G
LDS-MAUIP900 W
LDS-MAUIP900FC
LDS-MG2IK1
LDS-MG2IK1W
LDS-MG2IK2
LDS-MG2IK2W
LDS-MG2SPS
LDS-MG2SPSW
LDS-Mix 10A G3
LDS-MIX102AG3
LDS-MIX102G3
LDS-MIX6AG3
LDS-MIX6G3
LDS-MIX6G3BAG
LDS-MON101AG2
LDS-MON121AG2
LDS-MON81AG2
LDS-MP900SATBAG
LDS-MP900SUBPC
LDS-RBUD10
LDS-RBUD10B5
LDS-RBUD10HSB5
LDS-RBUD10PC
LDS-RJ10
LDS-RJ10PC
LDS-RJ8
LDS-RJ8PC
LDS-RM102RB5
LDS-ROADBUDDY10
LDS-SAT102G2
LDS-SAT102G2W
LDS-SAT122G2
LDS-SAT122G2W
LDS-SAT122G2WMB
LDS-SAT122G2WMBW
LDS-SAT242G2
LDS-SAT242G2W
LDS-SAT262G2
LDS-SAT262G2W
LDS-SAT262G2WMB
LDS-SAT262G2WMBW
LDS-SAT42G2
LDS-SAT42G2W
LDS-SAT442G2
LDS-SAT442G2W
LDS-SAT62AG2
LDS-SAT62AG2W
LDS-SAT62G2
LDS-SAT62G2W
LDS-SAT82AG2
LDS-SAT82AG2W
LDS-SAT82G2
LDS-SAT82G2W
LDS-SATWMB10B
LDS-SATWMB10W
LDS-STINGER10AG3
LDS-SUB10A
LDS-SUB88
LDS-U300RK
LDS-U3047BPG
LDS-U3047BPH
LDS-U3047BPL
LDS-U3047BPW
LDS-U3047HHD
LDS-U3047IEMHP
LDS-U3047IEMR
LDS-U3047IEMTWIN
LDS-U3051BPG
LDS-U3051BPH
LDS-U3051BPL
LDS-U3051BPW
LDS-U3051HHD
LDS-U3051IEMHP
LDS-U3051IEMR
LDS-U3051IEMTWIN
LDS-U500BP
LDS-U500CC
LDS-U500CH
LDS-U500DC
LDS-U500DH
LDS-U500MD
LDS-U500RK
LDS-U500RK2
LDS-U505.1
LDS-U505BPG
LDS-U505BPH
LDS-U505BPH2
LDS-U505BPHH
LDS-U505BPHH2
LDS-U505BPL
LDS-U505BPW
LDS-U505HHD
LDS-U505HHD2
LDS-U505R
LDS-VIBZ10C
LDS-VIBZ12DC
LDS-VIBZ24DC
LDS-VIBZ6D
LDS-VIBZ8DC
LDS-VIBZMSADAPTOR
LDS-WIN42AD
LDS-WS1000MW
LDS-WS100AB
LDS-WS100DA
LDS-WS100GC
LDS-WS100MH1
LDS-WS100MH3
LDS-WS100ML
LDS-WS1616BPB5
LDS-WS1616MDB5
MAD-1PEDAL
MAD-2BD
MAD-AO
MAD-BBBOD
MAD-BTD
MAD-DBD
MAD-DM
MAD-EBC
MAD-EOU
MAD-FGC
MAD-FRF
MAD-GC2ND
MAD-HW-AOD
MAD-HW-DBD
MAD-HW-FGC
MAD-HW-FRF
MAD-HW-LGW
MAD-HW-MRD
MAD-HW-MYT
MAD-HW-SBOD
MAD-HW-SHOD
MAD-HW-SWAW
MAD-HW-SWBAW
MAD-HW-TOP
MAD-KOSMOS
MAD-LGW
MAD-LNP
MAD-LTD
MAD-MRD
MAD-MYT
MAD-PRED
MAD-PRO
MAD-RBO
MAD-RRB
MAD-SB
MAD-SGD
MAD-SHOD
MAD-SHODDLX
MAD-SSR
MAD-SUP
MAD-SWAW-GB
MAD-TOP
MAD-TWIMBLE
Maui 28 G2
Maui 28 G2 W
Maui 5
Maui 5 Go
MAUI28G2LC
MAUI28G2UC
MAUI44G2LC
MAUI44G2UC
MAUI5GO 100
NEWEBS-RD502
PAL-AHMCT8
PAL-AHMCTDMX
PAL-AHMCTXLV2
PALMER FAT50H
PAL-PAN01
PAL-PAN01PRO
PAL-PAN02
PAL-PAN02PRO
PAL-PAN03
PAL-PAN03PASS
PAL-PAN04
PAL-PAN04A
PAL-PAN05
PAL-PAN08
PAL-PAN16
PAL-PAN48
PAL-PBATPACK4000
PAL-PBATPACK8000
PAL-PBC400AA
PAL-PBCDRAWER9V
PAL-PCABM
PAL-PDACCAPO
PAL-PDI03
PAL-PDI03JB
PAL-PDI03L04
PAL-PDI03L16
PAL-PDI05
PAL-PDI06L08
PAL-PDI06L16
PAL-PDI09
PAL-PDIR01
PAL-PDUETTO
PAL-PEABI
PAL-PEABO
PAL-PEDMS
PAL-PEINS
PAL-PEPAMPACOUSTIC
PAL-PEPAMPBASS
PAL-PEPAMPMKII
PAL-PGA03
PAL-PGA04
PAL-PGA04L04
PAL-PGA04L16
PAL-PHDA02
PAL-PLI01
PAL-PLI02
PAL-PLI03
PAL-PLI04
PAL-PLI04USB
PAL-PLI05
PAL-PLI06
PAL-PLS02
PAL-PMACHT402
PAL-PMBL
PAL-PMBLA
PAL-PMONICON
PAL-PMONICONL
PAL-PMONICONW
PAL-PMONICONXL
PAL-PMS02
PAL-PPB10
PAL-PPB20
PAL-PPB20S
PAL-PPURIFIER
PAL-PRMD28
PAL-PRMLS
PAL-PRMMS
PAL-PRMMS8
PAL-PSTUDIMON5
PAL-PTINOS
PAL-PW9V
PAL-PWC6
PAL-PWT04
PAL-PWT05MKII
PAL-PWT08
PAL-PWT12MK2
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