Request For Return Authorization Form

PLEASE NOTE:

This form is for request for a return that qualifies under our comprehensive policies, procedures, terms and conditions.
If your return doesn't qualify under our comprehensive policies, procedures, terms and conditions you will need to request special consideration for your return. Please click here to complete and submit our special consideration form.

Company and Name
As it appears in the SOLD TO: box on the top left of your invoice underneath the BLAUfergnügen! logo.
Company:
* First Name:
* Last Name:
Billing Address
As it appears in the SOLD TO: box on the top left of your invoice underneath the BLAUfergnügen! logo.
* Address:
* City:
* State/Province:
* Zip Code:
Country:
Order Information
As it appeared on the top right hand corner of your invoice.
* Invoice #:
* Invoice Date:   xx / xx / xxxx
Contact Information
Email, Phone, and Fax numbers where we should send your return authorization information?
* E-mail:
* Confirm E-mail:
* Phone:   (XXX) XXX-XXXX
Ext:
Fax:
Return Consideration Information
What is the reason for your return authorization request?
* Notes:
What Are You Requesting Authorization For
What parts are you requesting return authorization for?
Qty: Part Number & Description
* *
     
     
     
     
     
     

BLAUfergnugen! Inc. · 4921 Cty CR · Manitowoc, WI 54220 · (920) 758-3232