RJS Portable Bar Code Verifiers
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Product Information - If sending in multiple units only One (1) RMA number per box is needed

Model
* If your product is not listed please call us at +1-763-746-8034
Serial Number *
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Purchase Order Number
Need a "Loaner" Unit?

Customer Information (this is where the unit will be shipped after the service work)

Company *
First Name *
Last Name *
Address *
Address 2
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State/Province
*(US & Canada Residents only)
Zip/Postal Code *

Billing Information (LEAVE BLANK if it is the same as the Ship To address)

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First Name *
Last Name *
Address *
Address 2
City *
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State/Province
*(US & Canada Residents only)
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RJS Portable Bar Code Verifiers
701 Decatur Avenue North       Suite 107       Minneapolis, MN 55427       855-746-8034 / 763-746-8034