3000 Tasman Drive - Santa Clara, CA 95054

Phone: 408.748.7800 FAX: 408.748.7801

Return Material Authorization Form

In order to allow AnaCom to continue to provide their customers with excellent quality in repairs
and quick turnaround time, the RMA form should be filled out as completely as possible. It is
recommended that the AnaCom Technical Support Group be contacted prior to returning a
Transceiver for repair.
CUSTOMER CONTACT INFORMATION
Company:
Contact Name:
Address:

C.O.C TECHNOLOGY, S.A.

Csar Castillo
Bethania, Urb. Industrial Los Angeles, calle Harry Eno, No.L34, Ciudad de Panam

Phone: (507) 6614-0021 / (507) 260-3161

Fax: (507) 260-2337
E-Mail: ccastillo@coctechnology.com

RETURN PRODUCT INFORMATION

Serial No.:
Mode1 No.:
RMA # No.:

16157
5EC
16157-270409

FAULT INFORMATION
TX Description:
No Transmit

RX Description :

Additional Fault/Alarms Information :

Typical Operating Temperature/Environment :

36 Celsius, external use.

Technical Support: Alan Maenchen (408) 748 7800 x 141 / Ron Fischler (408) 748 7801 x 155
If possible, the LNC and LNC cable should be returned with the Transceiver. This will allow for
a more thorough evaluation and collaboration. A copy of this form should also be included with
the Transceiver when it is returned to AnaCom for repair.
Send form to Kathy Pham / Rose Gemmell (Phone): 408-748-7800 (Fax): 408-748-7801
(Email): Kathy@anacominc.com or Rose@anacominc.com
Ship To:
AnaCom, Inc.
3000 Tasman Drive
Santa Clara, CA 95054
Attn: Repair Dept.