RGA FORM

Complete this form for any items to be returned. An RMA number for merchandise will be returned to you.

*All packages returned to ACParts shall include the RMA number on the outside of every package

**Any products returned without the proper RMA form and number will be rejected and returned via freight collect.

***All RMA’s are subject to a 20% restocking fee. All products MUST be returned freight pre-paid.

Replacements Parts will only be issued by Customer request, and must be placed on a new order.

"*" indicates required fields

Company Name

Date of Purchase*

*If purchase date is over 30 days, No return allowed.

Name*

First Last

Email*

Phone*

Acparts Item Number:

Quantity:

Part Description:

Acparts Invoice#

Price each:

Price Total:

Reason for Return*

Are you 609 Certified?*

Yes

If Yes, please attach a copy to the "File upload" below. ***ALL warranty compressors MUST be accompanied with a copy of the customers 609 Certification card to receive inspection for warranty.***

Note/Comments

File upload

Max. file size: 50 MB.

Section Break

Phone

This field is for validation purposes and should be left unchanged.