Return Request Form

Return Request Form
Customer Information
Status
Submission Date
Date of Last Contact
Contact Type
Dale's Super Store Order #*
Desired Outcome
Order Date*

MonthDayYear
Date
Cause for Return
Supplier
Supplier Order #
Supplier RMA #
Supplier CM #
Internal Notes
Internal Status
Pre-Purchase
Part Type
Catalog #
Brand
Amount Collected
Total Refunded
Restocking Fee
Gross Profit
Tracking
Email*
example@example.com
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Vehicle Information
Year:
Make:
Model:
VIN:
Return Information
Product Ordered
Reason for Return*
Has Item been Opened?

YesNo
Has Item Been Installed?

YesNo
Do You Still Have The Original Packaging?

YesNo
How do you want the return processed?*
Please provide images of the item received to help us assist with your return:

Cancelof
I have read and understand the DalesSuperStore.com return policy, which is available at https://dalessuperstore.com/returns*

Yes, I Do
I acknowledge and agree that restocking fees apply as determined after review based on the return reason, manufacturer requirements, and the condition of the returned item, and that fees are not assessed when the return is due to an error on our part.*

Yes, I Do
By submitting this request, I confirm that the information provided is accurate and that I agree to the terms of the DalesSuperStore.com return policy.
Signature*

Clear
Should be Empty:

Customer Information