
Solutions Guide Revision 5
716-759-8666 • [email protected]
12
RETURN FORM
Name: _____________________________
Invoice #: _________________________
Address: ___________________________
Date Purchased: ____________________
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Purchased From: ___________________
Phone: ____________________________
List item(s) and a detailed explanation of why you are returning the item(s):
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_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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RGA # ____________________________
Use this label for your package.
From: ________________________
______________________________
______________________________
TO:
Stainless Steel Brakes Corp.
11470 Main Road
Clarence, NY 14031
RGA #: ______________
Invoice #: _____________