RETURN REQUEST
We are sorry you no longer need these items. To ensure your purchase qualifies for a return, please review our return policy on the previous page. Once we receive this form and approve the items for return, Niagara Machine will send you a Return Authorization Form with shipping instructions. The authorization typically takes 1-3 days. If you need help with your return, please reach out to Kevin Hamilton 704-329-5701 or kevin@niagaramachine.com. Thank you for your business.
Name
*
First Name
Last Name
Company Name
*
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Niagara Sales Order/Website Order #
*
Niagara Invoice #
*
Additional Information
*
Rows
ITEM NUMBER
DESCRIPTION
QUANTITY
REASON FOR RETURN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Input by
Notes
Submit
Should be Empty: