Return Goods Authorization Request

Purchases from Seller may be returned for credit or exchange within a 90 day period from invoice date, when accompanied by Seller’s Returned Goods Authorization form (RGA). RGA is valid for 30 days from date of RGA. Seller will not be responsible for any goods returned without an authorized RGA number. Returned goods must be clean, unused, in original packaging, and in saleable condition, and have the RGA number clearly marked on the packaging and be shipped prepaid to Seller (or other destination), unless approved for pickup by Seller’s truck. Returned merchandise may be subject to a reasonable handling and restocking charge. Buyer understands and agrees that any order cancelled, returned, or postponed for material that is non-standard, custom made for Buyer, dedicated, special, or specific only to the Buyer or that is not a normally stocked item and/or quantity ordered exceeds the Seller’s normal on hand inventory level, will be subject to a cancellation, handling, return, or restocking charge of up to 100% of the value of the goods as determined by Seller and / or Seller’s vendor. The manufacturer’s stated cancellation or change order terms apply to special ordered items.

Select a French Gerleman Branch Location (Purchase Made/Order Submitted/Delivery From):
* *
Title* Department*
City* State*
Zip/Postal Code* Country*
Products for this order were purchased from the following branch location:

Item #1

Return Reason (Item #1):
Box Opened? (Item #1)
Item Used? (Item #1)

Item #2

Return Reason: (Item #2)
Box Opened? (Item #2)
Item Used? (Item #2)

Item #3

Return Reason: (Item #3)
Box Opened? (Item #3)
Item Used? (Item #3)