J.H. Larson Company Request for Return Goods Authorization

Date:

Customer Name:

Customer Account Number:       Customer PO Number:

Contact Person:      Telephone Number:

Return Codes:
1. Damage/Defective (details required) 3. Shipped in error	2. Ordered In Error 4. Other (details required)

Qty

Invoice Nbr

Catalog Nbr

Code and Reason for Return

Click here to Print the form and then fax it to the JHL Branch you purchased the material from:
1. All material must be in resaleable condition and a current stocking item.   2. Credit Invoice will be issued pending final inspection, review and acceptance.   3. Material returned over 90 days from purchase are subject to a restocking fee.   4. Non-stock items are subject to prior authorization and terms from the factory.

Golden Valley MN Fax: (763)-545-1144	Hudson WI Fax: (715)-386-3746	Sioux Falls SD Fax: (605)-339-3189
Fairmont MN Fax: (507)-235-3181	Eau Claire WI Fax: (715)-834-6051	Watertown SD Fax: (605)-886-6965
	Hayward WI Fax: (715)-934-2710

Copyright © 2002 J.H.Larson Company Oct 04 2010