Azienda con sistema

di qualità certificato

SGS ISO 9001:2015

RETURN AUTHORIZATION FORM

(After filling out all required fields marked with asterisk, please send copy of this form to your area Manager

by Fax to the number +39 (0)498625911 or to export@tecnogas.net.

Attach copy of this form to the return goods as well)

Mod. 6 Rev. 3

*Company Name

Address

Town

Country

Phone no.

Email

*Code

*Quantity

*Code

*Quantity

*Code

*Quantity

*Delivery Bill / Invoice No.

Local Agent

Fax no.

Person to contact

Return reason

Defective or Reparation Credit Note

Goods to return

Description of the problem

Description of the problem

Description of the problem

Purchase data

Indicate the data of the purchase document of the goods

*Dated

General return terms

Acceptance of the return is always at the decision of our Technical Department.

Not receiving the goods after 20 days our return authorization, the dossier will be filed.

If the return is for credit note, it must be undamaged, new and complete of all the boxes and accessories like when

purchased.

For acknowledgement and acceptance

Signature_________________________________

The compilation of the space below is by Tecnogas

Return authorization

Authorization date

Transport cost

Date

Yes

Yes

No

Charged to

Devaluation

Notes:

Client

Operator

Yes

Tecnogas

By

%

Agent

Tecnogas S.r.l.

35020 Albignasego (Padova) ITALY – Viale L. Da Zara, 10 Tel +39 049 8625910 – Fax +39 049 8625911

www.tecnogas.net – info@tecnogas.net – P.IVA 03859580288

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