Request For Special Consideration Form
PLEASE NOTE:

A request for a special consideration return authorization (returns that fall outside of our comprehensive policies) will be considered by the returns team. An answer will be emailed to you within 72 hours.

Warranty Consideration: Click Here for full warranty information.

Expired Return Authorization (RA) Number and Label: Please include in the 'Notes:' box what the expired RA number was.
* indicates a required field.

What Are You Requesting Special Consideration For?
Please choose one of the following to let us know the reason for your special request.
* Request For:
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:
Contact Information
Email, Phone, and Fax numbers where we should send our reply.
* E-mail:
* Confirm E-mail:
* Phone:
Fax:

Extenuating Circumstances For Special Consideration
* What are your extenuating circumstances and reasons for requesting special return authorization consideration? Please provide specific details.
Warranty Consideration: The manufacturer requires a detailed explanation of the problem, miles on the part(s), and the ASE certified mechanics information who installed the part(s).
* Notes:
Consideration For What Parts?
What are the part(s) you are looking to receive return authorization for?
Qty:
Part Number & Description
* *
      
      

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