SRA Form for
INTEGRA
Brand *
INTEGRA
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--
2KP12
989DEMO
AC2AB1
ACAB1
ADM2.1
ADM20.4
ADM30.1
AH4
AKP2
AXKPC2.8
CAES
CAMFM
CCPNTBNC
CCPNTRCA
CDC3.4
CHDMI
CILINK
CMULTI
CNETA
CVIDEO
DBS30.1
DBS30.2
DBS30.3
DBS50.2
DBS50.3
DBS6.9
DHC40.1
DHC40.2
DHC60.5
DHC60.7
DHC80.1
DHC80.2
DHC80.3
DHC80.3AE
DHC80.6
DHC9.9
DHS8.8
DLB40.6
DLB5
DMI40.4
DPC7.5
DPC7.7
DPC7.9
DPC8.5
DPS10.5
DPS5.5
DPS5.9
DPS6.5
DPS6.7
DPS6.9
DRCR1
DRCR1.1
DRX2
DRX2.1
DRX2.3
DRX2.4
DRX3
DRX3.1
DRX3.2
DRX3.3
DRX3.4
DRX4
DRX4.2
DRX4.3
DRX5
DRX5.2
DRX5.3
DRX5.4
DRX7
DRX7.1
DRX7.3
DRX8.4
DRXR1
DRXR1.1
DSR4.8
DSR7.3
DSX3
DTA70.1
DTA9.4
DTC9.4
DTC9.8
DTM40.4
DTM40.7
DTM5.3
DTM5.9
DTM6
DTM7
DTR10.5
DTR20.1
DTR20.2
DTR20.3
DTR20.4
DTR20.7
DTR30.1
DTR30.2
DTR30.3
DTR30.4
DTR30.5
DTR30.6
DTR30.7
DTR4.6
DTR4.9
DTR40.1
DTR40.2
DTR40.3
DTR40.4
DTR40.5
DTR40.6
DTR40.7
DTR5.5
DTR5.6
DTR5.8
DTR5.9
DTR50.1
DTR50.2
DTR50.3
DTR50.4
DTR50.5
DTR50.6
DTR50.7
DTR6.4
DTR6.6
DTR6.8
DTR6.9
DTR60.5
DTR60.6
DTR7.6
DTR7.7
DTR7.8
DTR7.9
DTR70.1
DTR70.2
DTR70.3
DTR70.3AE
DTR70.4
DTR70.6
DTR8.8
DTR8.9
DTR80.1
DTR80.2
DTR80.3
DTR80.3AE
DTR9.9
EMAB1
ENC1083
ENC1364A
EXDEMO
HDBRX1
HTD03
IRK0653T
IRK0703
IRK0703A
IRK0803
IRK0803A
IRK0803B
IRK1103A
IRK1104
IRK1203
IRK1303
IRK1303A
IRK1303B
IRK1304
IRK1553
IRK1553A
IRK1553B
IRK1553D
IRK1554
IRK1554A
IRK1754
IRK1754A
IRK1804
IRK1804A
IRK1804C
IRK2004
IWK90
KEY2.7
KEY5.7
KPAB1
KPAB2
LB43
MZA4.7
NAC2.3
NAS2.3
NAS2.6
NVS7.7
R4
RC550M
RCAB1
RDA7
RDA7.1
RDC7.1
RDHC40.1NA-BOX
RDHC40.2NA-BOX
RDHC80.1NA-BOX
RDHC80.2NA-BOX
RDHC80.3NA-BOX
RDTR20.3BOX
RDTR20.3NA-BOX
RDTR20.4NA-BOX
RDTR30.3BOX
RDTR30.3NA-BOX
RDTR30.4NA-BOX
RDTR40.1NA-BOX
RDTR40.2NA-BOX
RDTR40.3BOX
RDTR40.3NA-BOX
RDTR40.4NA-BOX
RDTR50.1NA-BOX
RDTR50.2NA-BOX
RDTR50.3NA-BOX
RDTR50.4NA-BOX
RDTR70.1NA-BOX
RDTR70.2NA-BOX
RDTR70.3NA-BOX
RDTR70.4NA-BOX
RDTR80.1NA-BOX
RDTR80.2NA-BOX
RDTR80.3NA-BOX
RDV1.1
RFR5
RFR6
SBD41
SKW41
SLW43
TUN3.7
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