Power Acoustik Dealer Return Authorization Form

Please note: You will receive the RA number and instructions on how to ship the product(s) the following business day.

Please do not send your return without an RA number!

 
Customer Name 
 
Phone Number 
 
Fax Number 
 
Email Address 
 

City, State, Postal Code

 
Shipping Address  (no P.O box please)
 
Do you have your receipt? 
YES NO
 
Date of Purchase 
 
Seller Information
 
Was this product purchases online?
YES NO
 
Was this product professionally installed?
YES NO
 
Date of the Installation 
 
Do you have the Installation receipt?
YES NO
 
When is the best time to reach you?
AM   PM
  Product Model Number
  Quantity
 

Description of defect and comments