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Return Merchandise Notice

Instructions:

1. Fill out as much information as possible (Purchasing can contact vendor).

2. Attach this form to the item being returned.

3. Call Shipping/Receiving for pick up x3106.

PO#:_________________ Initiated by:___________________

Vendor:_______________ Date:________________________

Address:______________ Vendor Contact:________________

_____________________ Vendor Phone#:________________

_____________________ Vendor RMA#:_________________

Disposition of Return: Reason for Return:

__Return for Replacement (exact item) __________________

__Return for Credit ($ or different item) __________________

Returned Item(s):

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For Shipping Use Only

Shipped by:_ Date Shipped: Method:______

____________________________________________________

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For Purchasing Use Only

Purchasing Notes:_______________________________________

_____________________________________________________

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For Accounting Use Only

Accounting Notes:______________________________________

____________________________________________________

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Shipped by:_______ Date Shipped:______ Method:__________