NLB 1012D - Return Authorization Form

NLBCorp.
29830 Beck Road
Wixom, Michigan 48393-2824
Attn: Customer Service Department
Telephone (248) 624-5555 D Customer Service: (800)227-7652
Fax: (248)624-0538
R.A. #
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See your manual for Return Authorization instructions
or call NLB Customer Service to find out how to acquire
a Return Authorization (RA) number.
Repair and Service
NLB
Model#
RETURN AUTHORIZATION
Return This Authorization Form with package
I
NLBCorp.
29830 Beck Road D -Wixom, Ml 48393
(248) 624-5555 D Fax (248) 624-0538
Customer Service (800)227-7652
Ship To:
_________________ _
Phone:
Fax:
Hours
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NLB Serial#
Customer PO #
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Warranty Consideration - Please review NLB warranty policy
NLB
Model#
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Purchase Date _______ _
NLB
Serial#
Failure Date
---------------------~~
Hours
Customer
PO# _________ _
Customer Invoice #
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Customer description of failure and operating conditions at failure
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New Part Sent Date
Customer
Order #
Return to Stock - Please review NLB return
policy
Customer PO# NLB Part#
----------------------
NL B Shipper#
Customer Invoice #
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Re as on for returning part
------------------------------------
Restocking Fee Yes No
Customer Service Representative:
Date:
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