Return Goods Authorization Request Form
Please read this form carefully. If product(s) do not meet the return criteria, credit will not be issued.
All products must have been purchased fromEclipse Wholesale Inc. AND must have all pricing stickers removed.
Cigarettes MUST meet all manufacturerrequirements. Loose cigarettes (not in the original complete carton) boxes willonly be accepted with an authorized stamp from the designated representative.
The following are NOT returnable:
Any expired candy, snacks, grocery or medicines.
RJR products (Grizzly, Kodiak, Vuse)
Premium cigarettes
E-cigs or vapor products
Date Returning
*
-
Month
-
Day
Year
Date
Customer Information
Store Name
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name of Employee Returning Product
*
Store Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Return
Product(s)
*
Pictures of Returns
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Reason for return (Problems)
*
Return Given to:
*
Driver
Warehouse
Salesman
I have read and agree to the return requirements.
Signature
*
Continue
Continue
Should be Empty: