Manufacturer of Engineered Plumbing Products
RGA Form -
*
Indicates field is required
*
Representative Company
*
E-mail:
*
Rep return address
*
Date Created
Customer Affected by These Returned Products - Credit Request
Customer Name
Address
Contact
*
Original PO
RGA no.
Part Number
Qty
Original MIFAB Inv No
Multiplier
Reason for Return
Restocking applies to
all
returns
except
MIFAB error or defective product
Restocking Y/N:
Yes
No
Returned to Inventory:
Yes
No
Amount:
Authorized MIFAB Employee
Date Signed:
Request:
Approved
Denied
Adjusted
Please return all product to the MIFAB representative which sold the product
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