Fillable RGA REQUEST Date Company Cust. # City /

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RGA REQUEST Date Company Cust. # City /

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RGA REQUEST
RGA REQUEST
RETURNED GOODS AUTHORIZATION
REQUEST FORM
Date
Cust. #
PLEASE FILL IN ALL THE REQUIRED INFORMATION BELOW.
EMAIL :
ret
urns@grandwestauto.com
Product is eligible for return within 1 year of purchase.
Product returned after 6 months of purchase will be subjected to a restocking fee.
Please include all contact information in order for us to provide you with a return authorization as
quickly as possible.
RETURNS FAX:
306-653-3553
*
QTY PART # REASON FOR RETURN INVOICE #
Contact
Fax / Email
Company
City / Prov.
CLEAR FORM
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RGA REQUEST Date Company Cust. City

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Completed 6 April 2022

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