Region Equipment Return Authorization Request (RMA)
All returns require prior approval. Submission of this form does not guarantee approval. Unauthorized returns will be refused.
Company Name
*
Contact Name
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Order Details
Invoice Number / Order Number
*
Delivery Date
*
-
Month
-
Day
Year
Date
Product Information
Product Name / Description
*
Manufacturer (if applicable)
Serial Number (if applicable)
Condition of Item
Please Select
New – Unused / Uninstalled
Open Box
Installed
Used in Field
Return Reason
Reason for Return
Please Select
Ordered Incorrect Item
Wrong Fit / Compatibility Issue
No Longer Needed
Damaged in Transit
Defective / Warranty Issue
Shipped Incorrect Item
Other
Detailed Explanation
*
Supporting Documentation
Upload Photos (Item, Packaging, Damage if applicable)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Acknowledgment
*
I acknowledge: Return authorization is required prior to shipment. Custom, special-order, hydraulic, electrical, hose assemblies, and installed items may not be eligible for return. Restocking fees (minimum 25%) and freight charges apply. Final determination is at Region Equipment’s discretion.
Applicant Signature
*
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