RGA Form
Need to return some materials? Fill out our on-line form and it will be e-mailed to the store you got the materials from so they can get started on your RGA.
required information in green
Company Name:
Address:
City, State, Zip:
Phone:
Email:
Store material purchased from:
Alhambra
Anaheim
Cerritos
Compton
Costa Mesa
El Segundo
Energy Management
Fullerton
Lake Forest
Long Beach
Residential Div.
Riverside
Santa Ana
San Dimas
Santa Fe Springs
Telecomm Div.
Torrance
Victorville
Westminster
Your PO:
Our invoice:
Date Material Purchased:
Quantity:
Description:
Unit Price:
Reason for return:
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