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Online RMA Form

Order Information

Company Name

Tompkins Account #

Customer PO #

Tompkins Order #

Tompkins Invoice #

Order placed by

Website

Phone

Fax

Other

If "other", explain:

Contact

First Name

Last Name

Phone #

Fax #

Reason for RMA

Customer Ordered Wrong

Do Not Want

Shipped To Wrong Customer

Defective Material

Wrong Parts Shipped

Over/Undershipped

Billed To Wrong Customer

Other

If "Other", explain:

Return Items

Stock Number Billed	Stock Number Received	Qty

Add Row

Additional Comments:

* Required field