RMA Authorization
Retailer Name:
Store Number/ID:
Date of Request:
Contact Person:
Email:
Phone:
Return Shipping Address:
Product(s) to be Returned
SKU/Item #
Product Name/Description
Quantity
Reason for Return
RMA Number:
Return Authorized By:
Return Instructions / Notes:
Retailer Signature
Date
Authorized By (Supplier)
Date