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Product Return Form

*Required Fields

Contact Person for Return:*

Company Name:

E-mail Address:*

Telephone Number:*

What is your Customer ID number?

What is your Sales order number?*
(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:

How would you like us to handle your return?
Replacement  Credit Your Account  Refund

If replacement, what would you like as a replacement?
Same product  Different product - Please explain below:

Thank you for providing the necessary information to make your return happen.
We will be contacting you within 48 hours with return instructions and your return authorization information.