Carbide Depot Return Goods Authorization Form

Carbide Depot Return Goods Authorization Form
(Please print from your Internet Browser)

Carbide Depot Order ID#: _____________ (ONLY 1 ORDER for each form, please)

Carbide Depot Order Date: _______________________

Reason for return:

ship to: Carbide Depot
ATTENTION: Returns
119-B Citation Court
Birmingham, AL 35209

Item(s) to be returned:

Quantity	Carbide Depot Item # / Part #	Unit Price	Ext. Price




Total Value of Return:
Total Amount of Original Charge to Your Credit Card:

Billing Information:

First Name: _____________________________

Last Name: _____________________________

Company: ______________________________

Address: _______________________________

City: __________________________________

State/Province: __________________________

Zip Code: ______________________________

Country: _______________________________

Phone: ________________________________

Fax: __________________________________

Email: _________________________________

Shipping Information:

First Name: _____________________________