Return Authorization Form

Fields followed by an asterisk (*) are required.

Your autorization number:
Issue date:
Company:
Contact:
Telephone:
Fax : 
Issued by:
E-mail:
Territory rep.:
Territory:


Non-conformance:
Treatment of return:
Comments:


Model Serial number Order no PO Invoice no Fee


Additional instructions:


IMPORTANT

Before shipping you must make sure the transformer is in good condition (ref. re-strocking new transformer). THE ORIGINAL FRONT PANEL WITH NAMEPLATE MUST BE RETURNED WITH ANY DEFECTIVE UNIT. The return fees indicated above are for new transformers. All additionnal costs will be added after the inspection. Your credit will be issued only after complete inspection and agreement of additional or applicable fees are finalised. MERCHANDISE WILL BE REFUSED AND RETURNED AT YOUR EXPENSE IF RETURN PROCEDURES ARE NOT FOLLOWED.
Return to: Delta Transformers Inc.
795 Industriel Boul.
Granby, PQ
J2G 9A1
Tel.: 450-449-9774 1-800-663-3582
Fax : 450-449-1349 1-877-449-9115
Carrier:
Mandatory signature:

I, undersigned, accept the return authorization conditiions mentionned above and accept that the electronic signature is as valid as my signature paper.
Note: