Company Name
*
Company DBA (If Applicable)
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shipping Address is the same as the Billing Address
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Purchasing Email Address
*
example@example.com
Original Purchase Order Number
*
Heat Tech Invoice Number
*
Date Purchased
*
-
Month
-
Day
Year
Date
Date Received
*
-
Month
-
Day
Year
Date
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2. Item Information
Item Part Number
*
Item Description
*
Is there more than (1) item being returned?
Yes
No
Item Part Number
*
Item Description
*
Item Part Number
Item Description
Item Part Number
Item Description
Item Part Number
Item Description
Note: If (5) product lines are not enough for your return, please contact us at (714) 549-0555.
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3. Documentation Upload
Original Purchase Order
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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4. Additional Information
Please provide any additional details regarding the reason for this RMA
Please verify that you are human
*
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