| Catalog Part # | Quantity | Return Code (see below) | Description of Defects/Other Comments | RA #: |
| Order #: | ||||
| Name: | ||||
| Address: | ||||
| Phone: | ||||
| Email: | ||||
Return Codes:
A - Did not like
B – Shipping Error
C – Ordered Wrong
D – Defective/Damaged
E – Changed mind