Return Merchandise Authorization Form
You must complete this form in order to return or exchange products. Review our return policy: http://members.caseys-distributing.com/terms.html
Business Name *
Your answer
Contact Name *
Person to contact regarding the return.
Your answer
Contact Email Address *
Email address to contact regarding the return.
Your answer
Original Order Number or Invoice Number *
This is Casey's order number (preferred) or invoice number.
Your answer
Product SKU/UPC *
Casey's SKU is preferred
Your answer
Product Name/Description
Your answer
Quantity *
Reason For Return *
Your answer
Request Replacement to be Sent *
Submit
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