Returns Form

Name *

Invoice Number *

Invoice Date *

Part Number

Quantity

Was the part fitted to the vehicle? YesNo

Date Fitted

Milage Fitted

Where Failed? Fitted by garageDIY fitted

Date Failed

Milage Failed

Reason For Return Failed in service - BrokenFailed in service - ElectricalFailed in service - MechanicalFailed on FitFailed within 48hrsIncompleteIncorrect LabellingLeakingReceived DamagedUnhappy With Quality of PartNo Longer Required

Vehicle VIN

Comments regarding the return