9 E Broadway, Hackensack, NJ 07601-6821 1-800-735-valv (8258)

Menu

Close

Home
Products
Services
Case Studies
Industries
Company
New Customers
RFQ

Return Authorization Request

Customer Business Name *

Name of Contact Person (to whom RMA Confirmation will be sent) *

Email Address (where RMA confirmation will be sent) *

Original PO # *

Only one PO # per submission - Please submit additional requests if you are returning items from multiple PO's.

Lumaco Order # *

Are you returning a portion of your order, or the entire order? *

I am returning all line items in this order
I am returning one or more line items, but not the entire order

Product # of Item to be Returned *

Quantity to be Returned *

Are you returning a 2nd line item from this Order? *

No, I am only returning one line item from this order.
Yes, I am returning a 2nd line item from this order.

Product # of Item to be Returned *

Quantity to be Returned *

Are you returning a 3rd line item from this Order? *

No, I am only returning two line items from this order.
Yes, I am returning a 3rd line item from this order.

Product # of Item to be Returned *

Quantity to be Returned *

Are you returning a 4th line item from this Order? *

No, I am only returning three line items from this order.
Yes, I am returning a 4th line item from this order.

Product # of Item to be Returned *

Quantity to be Returned *

Reason for Return *

Please submit additional requests if returning Items from the same order for different reasons.

Have you submitted a substitute order in place of this return? *

No, I will not be submitting a substitute order at this time. (15% restocking fee applies)
Yes, I have submitted a PO for a substitute order. (5% restocking fee applies)

Please submit and confirm PO's for substitute orders first to sales@lumaco.com to be eligible for the reduced restocking fee.

Substitute Order # *

How should we process your return? *

Refund to Account
Refund Check

How should we process your return? *

Replacement - reship item(s) being returned as per the original Purchase Order
Refund to Account
Refund Check

Send Replacement Shipment Confirmation To (name): *

Email Address *

Send Credit Memo to the Attention of (name): *

Email Address *

Mailing Address for Refund Check *

Address Line 1

Address Line 2

City

State

Zip Code

Comments

By signing below, I hereby acknowledge that: *

All returned merchandise must be received in perfect condition

By signing below, I hereby acknowledge that: *

All returned merchandise must be received in perfect condition, except for the identified defect

and *

Valves, especially air-actuated valves, will become dented in transit unless properly packaged for return

and *

The original shipping box is intended for one-way transit and should not be re-used

and *

If the item(s) are being returned directly from your customer, I have advised them of the packing requirements

Signature of Authorized Representative *

Clear Signature

Name of Signing Authorized Representative *

Save and Resume Later

Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternatively, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

Copy Link

Email *

9 E Broadway
hackensack, nj 07601-6821
Hours Of operation: mon-fri 9am-5pm

Home
Products
Services
Industries
Sitemap
Privacy Policy

New Customers
Request Quote
Contact Us
Quality Standards
News & Events
Existing Customers

Toll free: 1-800-735-vaLV (8258) Phone: 1-201-342-5119 Fax: 1-201-342-8898 Email: sales@lumaco.com

©2024 Lumaco Sanitary Valves