Return, Credit or Exchange Authorization Request

Return, Credit or Exchange Authorization Request
All questions with an asterisk * must be completed before clicking next or submitting the form. Please note this request must be approved and created in our system. Please provide the information below to expedite your request.
Date of Exchange/Return Request*

MonthDayYear
Date
Entrenue or Nalpac*

NalpacEntrenue
Store Name*
Your Name*
Your Email Address*
example@example.com
Additional Email Address
example@example.com
Account Manager*
Customer Number*
Listed on the upper right of the Invoice and Order Confirmation
Was this order shipped to your store or an end user consumer?*

Store(s)End User/Consumer
Invoice/Order Number*
Transaction Type*
Number of items impacted*
Upload a list of items (please include UPC, if possible)

Cancelof

Items