Return Form

Date

To submit a request for a return authorization, please provide all the following information and click the Submit Button. We will contact you if further information is required.

Company Name

Your Name

Work Phone

E-mail Address

Invoice and Item Information

Invoice #

Manufacturer Code

Item Number

Quantity to Return

Type of Return

More information required on details of return

Invoice #

Manufacturer Code

Item Number

Quantity to Return

Type of Return

More information required on details of return

Total # of boxes to be returned

By checking this box we verify that the item is in it's original packaging and in good condition

Comments

***Please fill out the text boxes asking for more information on the details of your return. For example if it is "defective", what is wrong with the item or if you received the "wrong item", please let us know the item you received and the item you expected, if the error was Brown & Saenger's please explain.

ALL returns must be in good condition upon receiving the product and in it's original packaging with no writing on the packaging. (Unless of course the product is defective).

If return is the error of Brown & Saenger, we will issue a call tag and it will be picked up by FedEx, Speede or UPS if your company is out of our normal delivery area.

If you are returning the product, please send it to:

Brown & Saenger

Attn: Corporate Returns Dept

711 West Russell St

Sioux Falls, SD 57104

REQUEST FOR RETURN AUTHORIZATION