First Name:
Last Name:
Organization:
Department:
Phone:
Email:
Invoice Number:
Invoice Date: (mm/dd/yyyy)
P.O. Number:
P.O. Date:
Comments:
Item #1
Part Number:
Quantity:
Reason for Return: Customer ordered wrong item or quantityMain Street shipped wrong item or quantityProduct is defective (explain in comments)
Condition of Return: UnopenedOpened, with manufacturers packagingOpened, without manufacturers packaging
Requested Action: Return for credit or refundExchange for same productExchange for different product (describe in comments)
Item #2
Item #3