HGM Return Materials Authorization
Complete the form below. It will be emailed to you when completed. Include the form in your return package.
* Required
Email
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Company
Your answer
Address 1
*
Your answer
Address 2
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Address 3
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Town / City
*
Your answer
State / Province / Region
*
Your answer
ZIP / Postal Code
Your answer
Country
*
Your answer
Phone number
*
Your answer
What is being returned?
*
List the items being returned, including any serial numbers.
Your answer
Why is it being returned?
*
Describe the reason for the return.
Your answer
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