RMA Request

Date:
(mm/dd/yyyy)

Company name:

Staub account #:

Your name:

Your email:

Your phone #:

Request type:

If a Credit request, please supply the following:
   Purchase date:  or  invoice #:

If an Advance Warranty request, please supply the following:
   PO #:  or  case #:

Item(s) to return: (1 item per line)
  SKU:   QTY:   Reason:
  SKU:   QTY:   Reason:
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  SKU:   QTY:   Reason:

  • + Click here if you're returning more that 10 different SKUs:

      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
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      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
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      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
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      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:
      SKU:   QTY:   Reason:

Additional shipment notes: