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Request for Return

This is a request for return only.  You will be sent a Return Goods Authorization (RGA) form to use as your packing slip.


  • No items will be accepted for return without an RGA
  • All items are subject to inspection, reboxing and restocking charge.  You will be notified if additional charges apply to your return
  • Special, machined or made-to-order items are non-returnable
  • No returns shall be accepted following 60 days after delivery
  • All items returned are shipped at the customer’s expense unless otherwise stated in writing

 Note: Fields with an * are required.

Company Name: *
RGA Requestor's Name: *
Ship to Address: *
eMail Address: *
Telephone Number with Area Code: *
Fax Number with Area Code: *
Order Confirmation Number: *
QTY: *
Part Number: *
Part Number:
Part Number:
Part Number:
Reason for Request:
Ordered in Error Duplicate Shipment Excess Parts Wrong Part Supplied Shipping Error Other

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