Gerhard's Kitchen Bath & Lighting Return Goods Authorization Request

Contact Information

First Name*

Last Name*

Address*

City*

State*

Zip Code*

Telephone*

Email Address*

Order Date*

Order # or Invoice # (If Known)

Consultant Name (If Known)

Reason for Return*

Photos/original packaging required for damaged items

Select

How Many Items are you Requesting to Return?*

Select

Item (SKU) # 1*

Item # 1 Description*

Item (SKU) # 2*

Item # 2 Description*

Item (SKU) # 3*

Item # 3 Description*

Item (SKU) # 4*

Item # 4 Description*

Item (SKU) # 5*

Item # 5 Description*

Additional Items (SKUs) and Descriptions*

Please list all additional items (SKUs) and descriptions that are being requested.

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