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Returned Goods Authorization Form
Returned Goods Authorization Form
MODEL:
LCS790
Serial
RGA
No.
Number
Purchase
Install
Date
Date
Briefly Describe the Problem:
Dealer:
Installer:
/ /
/ /
Customer Name:
Company:
Address:
City:
ST:
ZIP:
Phone:
If a problem with this product develops within the warranty period, please con-
tact our Customer Service Department at (585) 226-9025. When
contacting us
about a product you have purchased, please have the product’s serial number
readily available. If the product needs to be returned, you will be issued an
RGA number (Returned Goods Authorization Number). No returns will be al-
lowed for product returns that are not listed on the RGA. Please fill out the
form below and enclose it with the returned product(s).