RMA Number: _____________

Date: _____________

Return/Exchange Form

 

You must follow the steps below to return/exchange items.

1.        Email rma@dyersonline.com with your order number, code for each item (Both can be found on your confirmation email.) and a short description as to why your wish to return the items. The RMA department will then give you a RMA number.

2.        Package the items securely into a box.

3.        Complete this form completely and enclose it in the box. Please print and use ink.

4.        Write your RMA number clearly on the outside of the box. Any package that does not have a RMA number that is clearly visible at first glance will be refused.

5.        Ship package to:

 

RMA Department

DyersOnline

20268 East Mingus Rd.

Mayer, AZ 86333

 

Contact Information

Name:                                     ____________________________________            Order Number:      ________________

Address:                                ____________________________________            Phone Number:     ________________

City, State, Zip:                     ____________________________________            E-Mail:                   ________________

 

Please list items you are returning below.

 

Item Code

Item Description

Qty

Reason for Returning or Exchanging

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Notes:

 

 

 

 

 

RMA Department use only. DO NOT FILL OUT!

Date Received:    ______________________                 Date Credited:      _________________

Reference #:        ______________________                 Credit Amount:    $ ________________

Received by:        ______________________                  [    ] Return    [    ] Exchange

 

Additional Notes: