ATR Outbound Form

Complete this form prior to shipping an Optio to a customer:

Date of Shipment:

FedEx Tracking #:

Optio S/N:

Optio Color:
—Please choose an option—WhiteBlackGunmetal GrayRedYellowGreenBlue

RMA #:

Destination Organization:

Destination Address:

Street 1:

Street 2:

City:

State:
—Please choose an option—AKALAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip: