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Merchandise Return Form

Instructions: This form should be filled out and submitted online.

PO number or credit card reference:*
Contact First Name:*
Contact Last Name:*
Phone:*
Email:*
Department:*
Chartfield:
Reason for return?*
Pick up location:*
Number of boxes:
Hand truck needed?
- Yes
- No
Ship to Name:*
Ship to Street Address:*
Ship to City:*
State:*
Ship to Zip:*
Hazardous Material?
- Yes
- No
Quantity:*
Catalogue/Part number:*
Description:*
Please check one:
- I have contacted the vendor and obtained all pertinent information (including RA# if applicable). The box is labeled and ready to ship.
- Please help me setup this return. (Please fill in the remainder of this form as best you can)
Vendor Phone:
How do you want these items returned? UPS, Best way:
Do you want this return insured?
- Yes
- No
If yes, please specify a $ amount:
Shipping charges paid by:
- Vendor
- Call Tag
- Department

Purchasing

Useful Links

Contact Purchasing

call: 801.581.7241
201 S Presidents Cir. Rm 170
SLC UT 84112

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Contact Purchasing | call: 801.581.7241 | 201 S Presidents Circle Room 170 SLC UT 84112 |

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