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Part Return Authorization Form
Your Company Information
All fields in this form are required!
Date Part Ordered:
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Company Name:
Street Address:
City:
State:
Choose a State
Indiana
Kentucky
Ohio
West Virginia
Zip Code:
-
Company Email:
Contact Person:
Phone Number:
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Ext:
Part Return Information
HAAS Machine Model # Part Was Ordered For:
HAAS Serial # Part Was Ordered For:
Part Number:
Exchange?
50% Exchange
100% Warranty
Why is the Part being returned?
Wrong Part Received
Please explain below
HFO Gave Wrong Part Number
Part was New/Defective
Why was the new part defective? Please explain below
Copyright 2008 Haas Factory Outlet
1993 Case Parkway North - Twinsburg, OH 44087
Phone: 513-874-8692 or 800-874-0160 - URL: www.hfomidwest.com
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