RMA Return or Exchange Request Form

Welcome to the Nav Video RMA Return Request System. Here you can fill out the required information to return or exchange your Nav Video product.

Please CAREFULLY read through the entire form before submitting your information, the submission of mis-information or a submission that does not adhere to company policies will be denied.

Please choose the option that best describes your request:

	RMA Option 1 - Return For Refund
	I purchased my Nav Video product less than 30 days ago and I would like to return it for a refund less the 15% restocking fee and shipping as indicated by the terms and conditions of sale.
	RMA Option 2 - Replacement
	I would like to send my Nav Video product back for warranty repair or exchange. I will send you the product first at my shipping expense, and once repaired or replaced, Nav Video will send it back at their shipping expense.
	RMA Option 3 - Replacement
	I would like Nav Video to send me a replacement product in exchange for my defective product. I would like Nav Video to send the product out to me first which I will pay for, and then I will send my defective product back within 30 days for a full refund.

Please enter your contact and invoice information:

Name:
Street Address:
City:
State / Province / Region:
Country:
Zip / Postal Code:
E-Mail Address:
Phone Number:
Date Of Purchase:
Invoice #:

Please select which items you are returning / exchanging and describe why:

Item 1:	Part Number:	Quantity:	Reason For Return:

Item 2:	Part Number:	Quantity:	Reason For Return:

Item 3:	Part Number:	Quantity:	Reason For Return:

Item 4:	Part Number:	Quantity:	Reason For Return:

Item 5:	Part Number:	Quantity:	Reason For Return:

Item 6:	Part Number:	Quantity:	Reason For Return:

Credit Card Information:

If you have chosen "RMA Option 1" or "RMA Option 3" we need your credit card information. For RMA Option 1 this should be the original credit card that the purchase was done under, and where the refund will be applied. For RMA Option 3 we need a credit card to bill for the replacement items, this card will then be credited for the same amount when the defective items are received from you within 30 days.

If you did not use a credit card for the original transaction simply leave this section blank, submit this form and contact us to discuss how payment will be refunded.

Name On Credit Card:
Card Number:	(Visa, MasterCard or American Express)
Card Expiry Date:
Card Security Code:	(Found on the back of the card)

By submitting this form, you agree that all information provided is correct and that you agree to all of the terms and conditions listed here.