Return Authorisation Form

*Customer Name:

*Customer Code: (found on invoice)

*Invoice No:

*Invoice date:

/ /

*Address line 1:

*Address line 2:

*City / Town:

*Country:

*Postcode:

*Customer Contact Number:

*Customer E-Mail Address:

*Product:

Serial Number: (if known)

*Reason for return

Please choose Product is faulty. Product arrived missing parts. Product arrived damaged. Customer bought the wrong item. Customer thinks they were advised to buy the wrong item. Other

If other please specify.

*Description of the fault or other reason for return (please be specific and give as much detail as possible):

Salesperson purchase made from:

Salesperson's email:

*Customer's preferred collection date:

/ /

Logged By: (enter your full name)

Submit

Note: Fields marked with * are required.