GOODS RETURN FORM

VERSION:21-1-2011

Complete this form and return it along with a copy of your invoice AFTER you have called us on (03 94087726) and received a "Goods Return Form" number

Your "Goods Return Form" Number________________________________

Your original Pavtek Invoice Number_____________________________

Date of Goods Invoice__________________________________________

Your Current contact Phone Number _______________________________

Date Goods were shipped BACK to Pavtek__________________________

GOODS BEING RETURNED

QTY_____________Part Number (SKU)________________________

Reason for Return______________________________________________________________________________________

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_______________________________________________________________________________________________________

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Thina make this look better - possibly put in table