RMA - Submission Form - Permalites/Decor Smart

Return Merchandise Authorization Request Form
Customer ID*
Customer Name*
Email Address*
Todays Date*

MonthDayYear
How Many Items are You Returning?*
Item Return Information
Enter each item number that you will be requesting in the space provided below.
1. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
2. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
3. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
4. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
5. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
6. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
7. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
8. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
9. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
10. Item #
Original Purchase Date/SO #*
Total Pieces Returned
Denomination
Detailed Issue*
Payment Information
Payment info will be used for items noted as defective and upon inspection are found to be functional, not a product sold by TDG, or at TDG's discretion found unwarrantable due to age or wear and tear. These items will be subject to a $25 handling fee and freight.
ACHCredit Card
We will use the CC or ACH infromation we have on your file.
Should be Empty:

Return Merchandise Authorization Request Form