Return/Exchange Form Customer Name: Address: Street Address City Postal / Zip Code Type/ModelSelect valueR6R15R1762006300R214900 SN Number: MAC Address (last 5): SIM Number: Replacement Type/Model:Select valueR6R1562006300R214900 Replacement SN Number: Replacement MAC Address (Last 5): Return/Replacement Reason:Indoor to Outdoor UpgradeCBRS ConversionDefective Device (See Notes)SIM IssueCancelled ServiceOther Notes: Technician Name:Select valueTravisDrewJustinShaneBrianToby Date: Word Verification:SubmitReset