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RETURN MATERIAL AUTHORIZATION FORM

[FrontPage Save Results Component]

 

Name       Apt Number  
Address   Phone #   
City         Email:     
State              Zip Code   Contact  
   
Where was it shipped to?  
Name      Invoice #         
Address  Invoice Total   
City         Order Date      
State             Zip Code   Arrival Date     
   
How was it shipped?

Was Packaging Damaged?

UPS Ground UPS 2nd Day UPS Over Night

Yes   No

US Mail FedEx 2nd Day FedEx Over Night

 
 

Was Product packed properly?

Method of Payment

Yes   No

Personal Check Company Check

  

US Money Order Credit Card

Was Product damaged?
Master Card  Visa     Exp Date

Yes   No

Card #  
Name - on card   
 

List only items you want to return - Not all items on original order
         Part Number                     Description                 Qty           Price
#1         
#2         
#3         
 
Reason for return:     Doesn't work       Damaged      Ordered wrong

Explain:  

 To Submit RMA

 To clear form

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