Return and Repair Request FOR INTERNAL USE ONLY ! Ben Hogan Return/Refund
! Warranty
! Repair
(Please check one) Customer Name Customer #
Order #
Customer Email Address
Phone #
Date
Bill to Address
Ship to Address
Attach Sales Order with the lofts and shafts being returned.
CUSTOMER SERVICE INFO Authorized By (Sales Associate)
Title
Date
Amount Refunded
FOR PRODUCTION USE ONLY Date Received
Quantity Received
Employee
Date Completed & Shipped
List of Lofts & Shafts if Different from Sales Order
FOR ACCOUNTING USE ONLY Amount Refunded
Date Refunded
Cost of the Repair
Accountant’s Name