Request for return of goods

Return of new goods, maximum 12 months old, in their original packaging

Please fill in one form per delivery note/invoice.

1. Company and contact details

Company

Customer no.

Contact person

Claim no. customer

Phone

Delivery date

E-mail

Order or delivery note no.

Pos. no. Quantity Mat. no. Designation

Article to return

Pos. no.

Quantity

Mat. no.

Designation

Remove

Add more articles

Remarks

Verification code:

5uyx4

Please fill in at least the mandatory fields marked with *.

Send request