Request for Return Authorization - Lumaco Sanitary Valves

Name of Person Submitting Request *

First

Last

Job Title *

Company *

Lumaco Order # *

Your Purchase Order # *

Date PO Submitted *

Return Item Part # *

Description *

Return Quantity *

Reason for Return *

How would you like your credit for this return to be applied? *

To Original Order
As an Account Credit
Send a Refund Check

We apologize for the inconvenience. How can we resolve this issue? *

Send a Replacement
Issue a Return Credit

How would you like your credit for this return to be applied? *

To Original Order
As an Account Credit
Send a Refund Check

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Return Item Part #

Description

Return Quantity

Return Item Part #

Description

Return Quantity

Lumaco Return Policy

Merchandise may be returned for credit only with prior approval from Lumaco. A 15% Restocking Fee will be assessed on all returns. At our discretion, returned merchandise being replaced by a new Purchase Order included with this Request for Return Authorization may qualify for a reduced 5% Restocking Fee.

Lumaco Return Shipping Requirements

The original shipping box is intended for one-way transit only and should not be re-used. Valves, especially air-actuated valves, are very heavy and will become damaged in transit unless properly packaged for return. Re-using the original shipping box may result in damage/loss of the merchandise during return transit, which may invalidate your return. If the merchandise is being returned directly from your customer, it is your responsibility to advise them of our packing requirements.

Signature *

I have read and understand the Lumaco Return Policy and Lumaco Return Shipping Requirements

Date *