SRA Form for
DBTECH
Brand *
DBTECH
CHECKLIST
PLEASE DO NOT INCLUDE ACCESSORIES
(remote, power cord, mic, etc.)
PREFERRED CARRIERS
FEDEX or UPS
In Warranty?
In Warranty
Out of Warranty
Please select warranty status.
Model *
--Select a Model--
AC26N
B-Hype 10
B-Hype 12
B-Hype 15
B-Hype 8
B-Hype Mobile BT 542-566 MHZ
B-Hype Mobile HT 542-566 MHZ
DigiPro1500
DVA K5
DVA KS10
DVA KS20
DVA M2M
DVA M2M+M2S
DVA M2M+M2SW
DVA M2P
DVA MINI G2
DVA MS12
DVA MS12 W
DVA S08 DP
DVA S09 DP
DVA S09 DPW
DVA S1518 N
DVA S1521 N
DVA S20
DVA S20 DP
DVA S2585 N
DVA S30
DVA S30N
DVA T12
DVA T12W
DVA T4
DVA T8
DVA T8W
DVX D10 HP
DVX D12 HP
DVX D15 HP
DVX D8 HP
DVX DM 12
DVX DM 12TH
DVX DM 28
DVX DM15
DVX DMTH
ES 1002
ES 1203
ES 1203 TOP
ES 1203 WHITE
ES 503
ES 503 WHITE
ES 802
FIFTY 118S SUB
FIFTY 410T TOP
FM 12
FMX 10
FMX 12
FMX 15
IG1T
IG2T
IG3T
IG4T
IG4T WHITE
IS 12S
IS 12SW WHITE
IS 25TB
IS 25TW WHITE
IS 26TB
IS 26TW WHITE
IS 4T
IS 4TB
IS 4TW WHITE
IS 5T
IS 5TB
IS 5TW WHITE
IS 6TB
IS 6TW WHITE
IS 8S
IS 8SW WHITE
K 162
K 300
K 70
KL 10
KL 12
KL 15
L 160 D
LVX 10
LVX 10W
LVX 12
LVX 12W
LVX 15
LVX 15W
LVX 8
LVX 8W
LVX P10
LVX P10 WHITE
LVX P12
LVX P12 WHITE
LVX P15
LVX P15 WHITE
LVX P5 16 OHM
LVX P5 8 OHM
LVX P8
LVX P8 WHITE
LVX PSW15
LVX PSW15 WHITE
LVX PSW18
LVX PSW18 WHITE
LVX XM
LVX XM12
LVX XM15
OPERA 10
OPERA 12
OPERA 15
Sigma S115
Sigma S115F
Sigma S118
Sigma S215
Sigma S218
SUB 18H
SUB 612
SUB 615
SUB 618
SUB 915
SUB 918
SUB S218
SUB05
VIO C12
VIO C15
VIO C212
VIO L1610
VIO L208
VIO L208 WHITE
VIO L210
VIO L210 WHITE
VIO L212
ViO S115
VIO S118
VIO S118 WHITE
VIO S118R
VIO S118R WHITE
VIO S218
VIO S318
VIO W10
VIO W15T
VIO X10
VIO X12
VIO X15
VIO X205-100
VIO X205-60
ViO X206 - 100x15
ViO X206 - 60x90
ViO X310
ViO X315
Please enter a Model.
You must enter a Model.
Serial Number *
Please enter your serial number.
RMA Number
Purchase Date
Purchase date is required for warranty
First Name *
Please enter your first name.
Last Name *
Please enter your last name.
Address 1 *
Please enter your address.
Address 2
City *
Please enter your 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
Please enter your state.
Zip *
Please enter Zip.
Email Address *
Please enter Email.
Invalid Email
Primary Phone *
Please enter your primary phone.
Invalid Phone Number
Reason for Repair *
Please enter Problem with Unit.
Original Box Notice:
Do NOT ship in original box/packaging. Your unit will be packed in a Panurgy box and returned to you.
Method of sending unit ?
DropOff
To Be Shipped
DropOff or Ship To PanurgyOEM ?
Method of return ?
PickUp
To Be Shipped
Pickup or Ship From PanurgyOEM ?
I have read the
Terms and Conditions
Please accept the terms and conditions.