This form is used to request a return/replacement. Be sure to fill out as much information as possible. Incomplete information and duplicate submissions will delay the return/replacement process.

You will receive a Case# when your information has been submitted.

Order Information
Full Name
Company Name
Email Address
Purchase Location	eBay Google/Froogle PayPal Invoice Ballistechs Website Telephone
Auction ID/Invoice ID/Product Number
eBay ID (if applicable)
Purchase Date
Issue Details
What machine (Computer, Printer, etc) did you try the part in?
Device Type	Desktop Laptop Printer Server Other
Brand (Apple, Dell, etc)
Model (Powerbook G4, Dimension 2100, etc)
Other Model Info (Titanium, 121-u, etc)
Processor Class (Apple: G5,G4,etc) (PC: Pentium 4, PIII, etc) if applicable
Processor Speed
What kind of problems are you seeing?
Problem Type	Visibly Damaged on Arrival Does Not Physically Fit Fits but won't boot Boots but crashes intermittenly Boots but crashes always Device shows wrong memory size Other
If "Other" please explain
Additional Info
Return Type	Replacement Return for refund (minus 20% restock fee and s/h)