Request for Return of Goods Authorization

Product
Distributor Information
First Name:
Last Name:
Company:
Contact:
Address:
City:
State:
Country:
Zip/Postal:
Telephone:
Fax:
Email:
Contractor Information*
First Name:
Last Name:
Company:
Contact:
Address:
City:
State/Province:
Country:
Postal Code:
Telephone:
Fax:
Disposition Issues
Reason for Disposition
Shipping Damage (FEE: 0%)
Defective Unit (FEE: 0%)
Mis-Ship (FEE: 0%)
Financial Action (FEE: TBD)
Incorrectly Ordered (FEE: 20%)
No Longer Required (FEE: 20%)
Requested Disposition
Return
Partial Credit
Scrap
Freight Terms
Customer Prepay
ComfortPro Prepay
Item List
Prod#
Serial#
Description INV# Cost Credit % Credit Value Description of Defect or Damage
Installation and Failure Date
Installation Date:
Failure Date:
Please click the submit button below to send your information to us.

* Only required if unit is found defective or damaged after delivered to Contractor
1)Authorization expires 30 days after the date of request.
2)Copy of this form must accompany any goods returned.
3)Please either fax to 847-967-1482 or mail to ComfortPro Systems 8150 N. Lehigh Morton Grove, IL 60053.
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