Request for Return Goods Authorization Number
Your Name:
E-Mail Address:
Telephone Number:
Fax Number:
Street Address:
City: State: Zip:
Reason for request: Please check which applies;
  1. Fastener does not work in designated tool.
  2. Fastener is not of quality workmanship, material or coating.
  3. We shipped the wrong fastener.
  4. You ordered the wrong fastener for the application.
  5. You ordered the wrong fastener for the tool.
  6. You ordered too large of a quantity
Invoice Number:
Date of Shipment:
Request / Comments:
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