Product Return Form

100% Satisfaction--Guaranteed We stand behind everything we sell. If you are unhappy with your order for ANY reason, we will replace or refund your order, or credit your account. Please help us by answering the following questions.

Note: If the product is damaged, please call customer service at 800-382-8473.

*Required Fields

Contact Person for Return:*

Company Name:

E-mail Address:*

Telephone Number:*

What is your Buyer ID number?

What is the Reference number of your order?*
(9 digit number beginning with "SO")

What is the Purchase order number (if used)?

Are you returning the entire order or partial order?
Entire Order    Partial Order

If returning only certain items from your order, please identify below:

Quantity: Part Number: Description:

Reason for return:

Please Explain:

Please indicate the actions you require to complete your return
(mark all that apply)
Replace  Credit Account  Refund

If replace, what would you like as a replacement?
same product  different product - Please explain below:

Are any of the products hazardous, did you receive any by truck, or have any of the items been used with any type of chemical?
Yes   No
If yes, please contact us before returning the products.

Would you like one of our Customer Service Representatives to contact you in regards to ordering a replacement or exchange order?
Yes   No

If yes what is the best way to contact you?
E-mail Phone

Any additional return information:

We will be contacting you within 48 hours with return instructions and your return authorization information.