Return Authorizations Please note, Grundfos requires the Date Code (Grundfos PC####), the Install Date and the Fail Date. Please use the Comments section to provide this additional information. Please provide the following information in order to process your request. Use a separate form for each manufacturer. Manufacturer's InfoManufacturer's Name*Select ManufacturerAB&I FoundryAmesAnaco HuskyBlucherBoyertownBRAECentrothermDanfossDormontFebcoGrundfosHot BoxLloyd IndustriesLochinvarMcGuireMill-RoseNIRONOasisOrionPACOPeerless PumpPowersPro-FlexSchierSchottSloanSpirothermStriemT&StekmarThrushTracPipeUponorWattsWatts DrainageWatts PureWaterWilloughbyOtherContact InfoCompany Name* Company City/Branch* Contact Name* Email* PhoneReturnsNumber of Returns*12345Item 1Quantity - Item 1* Part Number - Item 1* Description - Item 1* Do you want a replacement? - Item 1* Yes No Reason - Item 1* If the “Reason” is “Defective”, please be more specific in the Comments section below.Original PO - Item 1* If this is a purchase order through your Distribution Center (DC), please indicate this in the Comments below.Date Code / Serial # / Comment - Item 1 Debit # / Reference # - Item 1 Item 2Quantity - Item 2* Part Number - Item 2* Description - Item 2* Do you want a replacement? - Item 2* Yes No Reason - Item 2* If the “Reason” is “Defective”, please be more specific in the Comments section belowOriginal PO - Item 2* If this is a purchase order through your Distribution Center (DC), please indicate this in the Comments below.Date Code / Serial # / Comment - Item 2 Debit # / Reference # - Item 2 Item 3Quantity - Item 3* Part Number - Item 3* Description - Item 3* Do you want a replacement? - Item 3* Yes No Reason - Item 3* If the “Reason” is “Defective”, please be more specific in the Comments section below.Original PO - Item 3* If this is a purchase order through your Distribution Center (DC), please indicate this in the Comments below.Date Code / Serial # / Comment - Item 3 Debit # / Reference # - Item 3 Item 4Quantity - Item 4* Part Number - Item 4* Description - Item 4* Do you want a replacement? - Item 4* Yes No Reason - Item 4* If the “Reason” is “Defective”, please be more specific in the Comments section below.Original PO - Item 4* If this is a purchase order through your Distribution Center (DC), please indicate this in the Comments below.Date Code / Serial # / Comment - Item 4 Debit # / Reference # - Item 4 Item 5Quantity - Item 5* Part Number - Item 5* Description - Item 5* Do you want a replacement? - Item 5* Yes No Reason - Item 5* If the “Reason” is “Defective”, please be more specific in the Comments section below.Original PO - Item 5* If this is a purchase order through your Distribution Center (DC), please indicate this in the Comments below.Date Code / Serial # / Comment - Item 5 Debit # / Reference # - Item 5 Additional CommentsComments
