Controller Return Authorization Form
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* Means field is required and must be filled out.
RMA#: * Date : * Alltrax Warranty # :
RMA Number will be issued by return email upon completion of this form
Customer Information
* Customer:
* Contact :
Address :
State :
 
Fax :
City :
Zip :
Email Address :
* Phone :
Purchased Unit From: D&D Motor Systems, Inc.
Controller Information
* Part #:
Serial #:
* Mfg. Date :
Throttle Type:
0-5K Ω
5K-0 Ω
E-Z-GO ITS
Yamaha 0-1K Ω
Club Car 5K-0 Ω
Custom Settings:
Brake Current:
Max. Current:
Ramp Up:
Ramp Down:
Speed:
Vehicle Information
* Model :
Series
Regen
* Make:
Year:
VIN #:
Motor Info:
* Mgf. :
Model :
Fuse Used:
Yes
No
* Battery Voltage : Vdc
* Application Details :
* Check all boxes that apply
* High Speed Gears:
Yes
No
Description of Problem
* Time in vehicle:
Description :
* If NO problem is found with the controller or the controller is not covered under warranty, please:
NOTE:
Write the RMA number on the Shipping Box and ship unit to:
Alltrax, Inc.
1111 Cheney Creek Road
Grant Pass, OR 97527