Request for Return or Discrepancy Report form

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REQUEST FOR RETURN/CREDIT Web Form

Request for Return of New Material
Discrepancy Report

Product Line
Grove Crane
Shuttlelift
GMK

Manitowoc Crane
Potain
National Crane

*Distributor:	*Submitted By:	Date:
*Address:	*Phone:	Machine Model and Serial No.
*City, State, Zip:	Fax:	Distributor Reference No.
*Email:	Attachments:

*In accordance with the provisions outlined in the Parts Managers Handbook Section, Parts Return Policy and Procedure, we request permission to return the items listed for the following reasons:

*****PLEASE PROVIDE AS MUCH DETAILS AS POSSIBLE WHEN ENTERING THE REASON FOR YOUR REQUEST*****

Item No.	Part Number	Description	Qty to Return	Qty Ordered	Qty Short	Invoice No.	Purchase Order No.