Customer Return Goods Request Form

****PRIOR TO RETURNING GOODS**** Please complete and submit this form for replacement or return of goods:

Tick the appropriate boxes: *
Faulty Product Damaged Goods Supplied Incorrectly Goods to be Returned Goods to be Discarded Goods to be Replaced Refund / Credit Account (no replacement)
Are you an online customer?
Yes No
CUSTOMER ACCOUNT NO: *
CUSTOMER NAME: *
CUSTOMER CONTACT NAME: *
PHONE NO: *
CUSTOMER EMAIL ADDRESS: *
INVOICE NUMBER: *
INVOICE DATE: * / MM / DD YYYY
DATE GOODS TO BE RETURNED TO WARRIEWOOD? / MM / DD YYYY
RETURN METHOD – FREIGHT COMPANY/ AUS POST ETC? *

(At Customer’s Cost – as per Terms & Conditions of Trade)
WHAT GOODS ARE YOU REQUESTING FOR RETURN OR REPLACEMENT? *
REASON FOR REQUEST? *
PHOTO PROOF OF DAMAGED/FAULTY GOODS.
Please attach:

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