RMA Form - American Made Fire, Agriculture, & Industrial Hose | Snap-tite Hose

RMA FormSnap-tite Hose2020-02-03T15:10:27-05:00

RMA Form

Today's Date *

Originator (Distributor Name) *

Contact Email *

PO # *

Hose Location Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Delivery Address, if different than the Originator:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Dealer Phone Number *

Snap-tite Hose Regional Sales Manager: *

Return Information

Quantity *

Hose Type, Size, Color *

10 Digit -Bar Code # on Coupling*, if available *

Detailed Reason for Return *

For Ex: Leak in hose 3’ from male end)

Comments

Please upload a photo of the affected product. *

Click or drag a file to this area to upload.

Name