Return Merchandise Authorization Form

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Fields marked with an * are required

Invoice Number *

Company Name *

Representative Full Name *

Company Phone *

Ext

Email *

Details of Return

Part Number(s) (separate by commas) *

Quantity for each Part# (separate by commas) *

Reason for Return *

I have read and understood Terms and Conditions *

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Prove you're not a robot

Terms of Trading with ————————–
Purchasing from ——————————
To purchase with —–, can be done with our online application. —- reserve the right to terminate any dealer account for the breach of our website usage policy.

Order Processing:
Orders placed on this website will be processed by our sales team in the most efficient manner. If for whatever reason, you do not receive a feedback on your order. Please contact us at —–.
We also welcome any feedback or comment. Please do not hesitate to contact us for any inquiries.

Payment for Orders:
There are various form of payment accepted at —–. For pickup orders we accept EFTPOS, Cash, Credit Card (surcharge applies) and the payment can be made in office.

Please note for credit payment the following surcharge will apply:
Visa, MasterCard: _ %
PayPal accounts, Moneytech: _ %
Amex, Diners: _ %

Please note: For orders placed on items not currently in stock, a payment is required before ____ can order in the goods from the supplier. Please ensure to send all remittance advice to ______ to avoid any delay in getting special order items.

Website Usage Policy:
Please click here for the website usage policy.

Privacy Policy
We are committed to protecting your privacy at _____. We will not collect any personal information from you that you do not volunteer, and we are the sole owner of all information collected on this site. We do not sell, share, or rent this information to others in any way that we have not mentioned in this statement.

Security
We use high precautions to keep the personal information that you disclose and will not release this information to any third parties without your consent. We have commitments to protecting your privacy, however, we are not responsible for any breach of security or for any actions that are beyond our controls.

Obtaining your consent
By using our Web site, you give ______ permission to collect information about the pages served to you as an anonymous user for the purpose of calculating aggregate site statistics. If you use________, you authorize _____ to use information that you provided to personalize the information that we deliver to you and to use your demographic information when calculating aggregate customer data. ______ may occasionally amend this policy. We suggest that you bookmark this page and check to see if it has changed from time to time.

Order Processing:
Orders placed will be processed by our sales team in the most efficient manner. If for whatever reason, you do not receive a feedback on your order. Please contact us at ______.

We also welcome any feedbacks or comment. Please do not hesitate to contact us for any enquiries.

Warranty:

All products carries the standard Manufacturer’s warranty. Please refer to your account manager or the Manufacturer for more details. Unless otherwise specified, all products comes with a standard 12 months return to base warranty.

An invoice must be presented when returning any defective product for warranty. —– reserve the right to refuse any warranty claim if no invoice is provided. For more information on the warranty terms & condition, please our Service department at —-.

Changes to Terms & Conditions of Use:

____ reserves the right to change the Terms & Conditions of Use of this website without notice. All changes will be published on this website and it is the user’s responsibility to check back regularly for any changes.