RMA SUBMISSION

Return Address

94 Brockport Drive
Toronto, ON
M9W 7J8
Canada

Please fill out the form below. You will receive an email notification that your claim has been processed. All Returns, Exchanges, and or Repairs brought to the factory must have a printed RMA form present.
Note: RMA submission number is different from actual RMA #

Date *

Name *

First

Last

Company *

Email *

Phone *

Ship to Company Name *

Ship to Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

RMA Claim *

Select Salesperson *

PO Number *

Fixture Type *

No. of Fixtures *

Fixture Type #2

No. of Fixtures

Fixture Type #3

No. of Fixtures

Reason for RMA Claim *

Comment

Head Office

94 Brockport Drive
Toronto, Ontario, M9W 7J8
Canada

Contact

1.877.502.3434
info@delviro.com

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