Please fill out the portion of this form that lists your defective product:

From Asia Pacific:
To process this return, you must provide original owner PROOF OF PURCHASE for the product you wish to return. Please print, then fill out the following information and fax the request form along with your proof of purchase using Intel Customer Support toll free numbers, or scan the documents then e-mail them to: apacsupport@mailbox.intel.com

A return document and commercial invoice will be sent to you with an RMA number and instructions for returning the product.

PLEASE DO NOT RETURN PRODUCT WITHOUT GOING THROUGH THIS PROCESS. PRODUCTS RETURNED WITHOUT AN RMA NUMBER MAY BE RETURNED WITHOUT BEING REPLACED.

Check Box	Product Name	Product Code
Hubs
	Intel® InBusiness™ 5 Port Hub	SH10T5US
	Intel® InBusiness™ 8 Port Hub	SH10T8US
	Intel® InBusiness™ 8 Port Hub Plus	SH10T8BUS
	Intel® InBusiness™ 4 Port Fast Hub	SH100TX4US
	Intel® InBusiness™ 8 Port Fast Hub	SH100TX8US
	Intel® InBusiness™ 8 Port 10/100 Fast Hub	SH101TX8US
	Intel® InBusiness™ 8 Port Fast Hub Plus	SH110TX8US
	Intel® InBusiness™ 16 Port 10/100 Hub	SH101TX16US
Switches
	Intel® InBusiness™ 4 Port 10/100 Switch	SS101TX4US
	Intel® InBusiness™ 8 Port Switch	SS10T8
	Intel® InBusiness™ 8 Port 10/100 Switch	SS101TX8US
	Intel® InBusiness™ 8 Port Switch Plus	SS110TX8
	Intel® InBusiness™ 16 Port 10/100 Switch	SS101TX16US
Power Supply Note: Power Supply has a one year warranty
	+7.5 V / 1.0 A Power Supply	719173-001
	+5 V / 3 A Power Supply	696025-001
	+5 V / 5.0 A Power Supply	A19222-001

Serial number on product:

Part number on product:

Reason for return:

Company name:

Contact name:

Address: (NO P.O. BOXES PLEASE)

City/State/Zip:

Phone number:

Fax number:

Email address:

SSN/EIN number (Korean customers only):

This applies to:

Intel® InBusiness™ Hubs and Switches