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Return Goods Authorization Form
Company Name
Customer Name
(Required)
Email
(Required)
Invoice #
(Required)
Part #(s)
(Required)
Serial #
Type of Return
(Required)
New Return
Warranty/Defective
Core
Freight Damaged Unit
Has the oil been drained
(Required)
Yes
No
Do you require a power tailgate for this core?
(Required)
Yes
No
Pick Up Location Address
(Required)
When will the unit be available for pick up (date & time)
(Required)
Additional Comments
Terms and Conditions
(Required)
I Agree
Please confirm that you have read and agree to the return
policy and terms
.
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