Temporary Capax Technology Return Authorisation Request Form
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Company Name/ Store Name *
Store ID
Contact Person *
Email Address *
Phone Number *
Your Return Reference
ITEM 1 DETAILS
If there is more than one item, please repeat with a new entry but use your same reference number.
Item Code 1
Item Name Or Description 1
Quatity
Fault Description 1
Reason for Return 1
Clear selection
If it is STOCK ROTATION, please enter your new order number
Condition of the item 1
Clear selection
Capax Invoice Number
Invoiced Date
ITEM 2 DETAILS
If there is more than one item, please repeat with a new entry but use your same reference number.
Item Code 2
Item Name Or Description 2
Quatity
Fault Description 2
Condition of the item 2
Clear selection
If it is STOCK ROTATION, please enter your new order number
Reason for Return 2
Clear selection
Capax Invoice Number
Invoiced Date
Submit
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