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Return Authorization Request Form for Weir Parts

 Packing and Shipping your Return

The item must be returned in the same package with no damage. Shipping charges are the responsibility of the customer. If you need help returning the product please call us.  Any damage done to the product by the user will be deducted from the return. 

Please note, once a product has shipped it is considered a complete sale, if you decide you want to cancel your order after the item has shipped you will be charged the shipping, after you refuse the item(s) and we receive the product back your credit card will be credited the full amount minus the shipping. Some products may be subject to an additional 20% restocking fee.

Order Information
as it appeared on your email order confirmation
Order Number:
Date Ordered:
Refund Amount:
Your Name and Company
as it appears on your credit card
First Name:
Last Name:
Company:
Your Billing Address 
as it appears on your credit card 
Address:
City:
State/Province:
Zip/Postal Code: (Changing Zip will affect shipping fees)
Country:
Email, URL and Phone Number
Addresses where we should send info for your order
Email:
Phone:
Fax:
Return Information
Tell us why you are requesting this return.
Note:

Items and Products
If you know the product numbers and prices enter them below

QTY Product Number / Description Price

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