Fill and Sign the Return Authorization Form

Return Authorization Form RA#: ___________ Today’s Date: ______________ Returns over 30 days may be charged a ____% restocking fee. Please fill this form out completely. Account Number:______________ Department: __________________ Company: _________________________________________ Address: _______________________________________________________________ Contact: ___________________________ Phone: _________________ Picking Ticket / Invoice #: ___________________________ Copy of Picking Ticket / Invoice Attached? [ ] Yes [ ] No No returns will be accepted without either the picking ticket or invoice number. This form is proof of pick-up only. Credit will be issued once the merchandise is determined to be in re-saleable condition. Special orders are not subject to return. Thank you. Items To Be Returned: Mfg. Code Stock Number Qty. U/M Description Reason # ________ ___________ ____ _____ ___________________ __________ ________ ___________ ____ _____ ___________________ __________ ________ ___________ ____ _____ ___________________ __________ ________ ___________ ____ _____ ___________________ __________ Reasons for Return: Please list the reason number in the box above. 1. Pulling error by TSR 8. Shorted by TSR 2. Pulling error by wholesaler 9. Shorted by wholesaler 3. Billing error 10. Salesman error 4. Duplicate order 11. Customer did not order 5. Samples 12. Customer ordered wrong 6. Customer Service error 13. Defective / Damaged 7. Purchasing error 14. Merchandise destroyed Please explain damages and defects in detail here. ________________________________________ ________________________________________ ________________________________________ Our return policy is pickup of your return and 100% credit no matter whose fault it is (except set- up furniture) for items returned within 30 days in re-sellable condition, with all packaging, instructions, etc. returned intact. Special orders, custom orders and open software are not returnable. Simply use the form on this page which will submit to our Customer Service Department. or call Customer Service at (800) XXX-XXXX. E-mail: XXXXX@xxxxxx.com Customer Signature: _____________________________________________ Picked Up By: __________________________________________________ Returns Clerk: __________________________________________________