jhlcir_2.gif (1313 bytes) 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