Return Authorizations Please provide the following information in order to process your request. Use a separate form for each manufacturer. Manufacturer's InfoManufacturer's Name*Contact InfoCompany Name*Address* Street Address City New YorkPennsylvania State Zip Name* First Last Email* Phone*ReturnsNumber of Returns*12345Item 1Quantity - Item 1*Part Number - Item 1*Description - Item 1*Replace - Item 1*YesNoReason - Item 1*Original PO - Item 1*Date Code / Serial # / Comment - Item 1Debit # / Reference # - Item 1Item 2Quantity - Item 2*Part Number - Item 2*Description - Item 2*Replace - Item 2*YesNoReason - Item 2*Original PO - Item 2*Date Code / Serial # / Comment - Item 2Debit # / Reference # - Item 2Item 3Quantity - Item 3*Part Number - Item 3*Description - Item 3*Replace - Item 3*YesNoReason - Item 3*Original PO - Item 3*Date Code / Serial # / Comment - Item 3Debit # / Reference # - Item 3Item 4Quantity - Item 4*Part Number - Item 4*Description - Item 4*Replace - Item 4*YesNoReason - Item 4*Original PO - Item 4*Date Code / Serial # / Comment - Item 4Debit # / Reference # - Item 4Item 5Quantity - Item 5*Part Number - Item 5*Description - Item 5*Replace - Item 5*YesNoReason - Item 5*Original PO - Item 5*Date Code / Serial # / Comment - Item 5Debit # / Reference # - Item 5Additional CommentsComments
