New Customer Registration Form

Parts return form
Company Name / Account Number
Form Completed by

First NameLast Name
E-mail
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Invoice Number
Contact Phone Number

Area CodePhone Number

List of part you want to return

Rows	Part Number	Description of part	Qty	Reason for returning part
1
2
3
4
5
6
7
8
9
10

Notes :

·         Specially procured items will not be accepted for return irrespective of despatch date

·         Returns will only be accepted within 30 days of despatch.

·         A Handling charge of up to 25% will apply to all approved returns.

·         Goods must be returned in good saleable condition and contained in original packaging.

·         A Copy of this (Authorised) form must accompany the physical return of the goods.
Should be Empty: