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[null,"Giga-tronics / Microsource",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Giga-tronics Inc."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5990 Gleason Drive"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Dublin, CA  94568-7644"]
[null,"RETURNED MATERIAL AUTHORIZATION REQUEST",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Main Tel: (925) 328-4650"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Service # (925) 328-4642"]
[null,"Company*:",null,null,null,null,null,null,null,null,null,"Shaded cells indicate Office Use Only"]
[null,"Requester*:",null,null,null,null,null,null,null,null,"RMA #:"]
[null,"Phone*:",null,null,null,null,null,null,null,null,"Date:"]
[null,"Fax:"," ",null,null,null,null,null,null,null,"GIGA CSR:"]
[null,"E-mail*:"]
[]
[null,"                                  Please complete (*= Required Fields) and return by E-mail to: support@gigatronics.com"]
[null,"                                 After receipt of fully completed form, Giga-tronics will provide RMA number"]
[]
[null,"SERVICES REQUESTED*",null,null,null,null,null,null,null,null,"Shaded cells indicate Office Use Only"]
[null,"Model Number*","Serial Number*","Original \nPackaging*?","Calibration","Calibration/Repair","Expedite","Evaluate","Test Data","  Failure Symptom*","Warranty (X)","Calibration Fee","Repair Fee","Exped. Fee","Evaluation Fee","Test Data Fee","Total"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null,"Will a partial shipment be acceptable?        ",null,null,null,null,null,"Yes"]
[null,null,null,null,null,null,null,"No"]
[null,"Purchase Order #*:"]
[]
[null,"Bill To Address*:",null,null,null,null,null,null,null,null,"Ship To Address*:"]
[]
[]
[]
[]
[]
[]
[null,"Shipping Method",null,null,null,"(Mark one checkbox)",null,null,null,null,null,null,null,"NOTES:"]
[null,"Fedex: ","P1",null,"    UPS:",null,"RED",null,null,"                            DHL intl"]
[null,null,"P2",null,null,null,"BLUE",null,null,"                            Emery "]
[null,null,"ECONOMY",null,null,null,"GROUND",null,null,"                            Other                      "]
[null,null,null,null,null,null,null,null,null,"                            Prepay & Add"]
[null,"                                     Collect (Account #):"]