RETURN FORM - PLEASE ENCLOSE WITH YOUR RETURN!!
No credit will be issued without this form.
Possible restocking fees apply.
Customer					Date:
Adress
					Phone#
Contact					Fax#
Invoice#					PO#
Qty		Part No.			Description
Check here if the entire order is being returned
Reason for Return
	Incorrect Part Ordered					Defective Part
	Incorrect Part Shipped					No Longer Required
	Duplicate Shipment					Other	explain below
	Core Charge
							circle one
Did you supply proper part and/or serial numbers when you placed the order?							yes	no
Comments:
Customer Signature:						Date:
Returns must be shipped prepaid, and Insured for full value against loss or damage.
All returns must be shipped by Ground Service Only
Ship to:  JAS Graphics
5870 Elmwood Ave
Indianapolis, IN 46203
Attn: Returns Dept.