:: Mirus Innovations

Please fill in the form below or click the PDF icon to print the rma form.


Product Name(s)*
Serial number* (6 digit#)
Date of purchase*
Place of purchase*
First name*
Last name*
Company name
Address 1*
Address 2*
City*
State*
Zip Code*
Email*
Description of problem (please be as thorough as possible.)
I would like	Repair Exchange Refund

** Please read: By submitting this form, User agrees to all said terms and conditions stated on this page and on the Mirus Innovations Warranty Document. By emailing/submitting this form buyer agrees to all terms whether or not a signature is submitted. I agree to all RMA terms/conditions stated in this document and in the Mirus Innovations Warrany Document