Return Authorisation (RA) Request/Quality Complaint

RA Number: Date Issued:
173002 2017-07-24
Company Name:
Customer No.:
Company Address:
Company Zipcode:
Company City:
Company Country:
Contact Name:
Contact Telephone:
Contact Cellphone:
Contact Email:
Warranty Claim
Service
Complaint only
Return of goods:
Send to:
Interspiro AB
Box 2853
S-187 28 Täby
Sweden
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Product nameArticle No.Serial No./Delivery dateQty.
Please provide a clear and accurate decription of reason for return/complaint:

Attach files: (Max size: 10MB)



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Note! If the product is contaminated, please inform before sending it.

The full Interspiro AB Terms and Condition for product credits and returns can be found at:
http://www.interspiro.com
- Failure to provide acurate description may lead to RA being declined at your expense.

This form to be packed together with the goods when returning to Interspiro.
Goods to be marked outside with RA No.

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