Samson Electrical Supply

Women's Business Enterprise National Council

Conduits
Condulets - Cast Boxes
Distribution Equipment
Enclosures & Wireway
Fans - Ventilation
Fittings & Boxes
Flashlights & Batteries
Fuses
Heat Tracing
Safety Products
Lamps & Ballasts
Lighting
Motor Control
Poleline Equipment
Signal - Sound - Timing
Support Equipment
Tools/Test Equipment
Transformers
Wire, Cable & Cord
Wiring Devices

PRESS

RELEASES

Return Form

Please fill out the below information to have your material picked up and processed for return. Please note that for all non-stock material, credit will be issued upon receipt of manufacturer's credit. All returns are subject to restocking charges. Some material is non-returnable.

Company Name
Customer Contact
Address of Pick Up
Phone Number
E-Mail Address
Item Being Returned Please enter one item at a time.
Reason Check Boxes	OVER ORDERED JOB ENDED DEFECTIVE MATERIAL RECEIVED WRONG ITEM RECEIVED WRONG ITEM DIRECT FROM VENDOR OTHER
Defective Material	If material is defective, please explain the problem:
Replacement Needed?	YES NO
Customer P.O. Number
Original Order Date
Samson Invoice #
Salesman Name