Return Merchandise Authorization (RMA)
Please complete all fields, so that we may process your request promptly. If you need assistance completing this form, please call: 800-233-3848
Customer Information
Account Name
*
Account Number
Phone Number
*
Company Contact Name
*
Contact Email Address
*
Order Details
Please complete all fields according to the sales order.
Purchase Order Number
*
Sales Order Number
Item Description
*
Please enter the part number, if known.
Quantity
*
Please include unit of measure (feet, pounds, etc.)
Reason for Return
*
Please Select
Incorrect Item
Quantity Error
Quality/Damage
Other
If damaged, please include photographs
Action Requested
*
Please Select
Credit Account
Replace Item(s)
Other
EXPAND SECTION TO ADD ANOTHER ITEM
Additional Items
Please complete if you are requesting to return more than one item.
Item Description
Please enter part number, if known.
Return Quantity
Please include unit of measure (feet, pounds, etc.)
Reason for Return
Please Select
Incorrect Item
Quantity Error
Quality/Damage
Other
If damaged, please include photographs
Action Requested
Please Select
Credit Account
Replace Item(s)
Other
Item Description
Please enter part number, if known.
RETURN REASON
Please Select
Incorrect Item
Quantity Error
Quality/Damage
Other
If damaged, please include photographs
Action Requested
Please Select
Credit Account
Replace Item(s)
Other
ITEMS TO BE RETURNED
*
Item Description /
Part Number
Return Quantity
Return Reason
Return Action
Item 1
Incorrect Item
Quantity Error
Quality/Damage
Other
Credit Account
Replace Item(s)
Item 2
Incorrect Item
Quantity Error
Quality/Damage
Other
Credit Account
Replace Item(s)
Back
CONTINUE
Please provide details on why you are requesting this return.
*
Please provide photos of the material(s) to be returned.
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Additional Comments
Customer Acknowledgement
*
SUBMIT RMA
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