Returned Goods Form

*Note: there is a two week turnaround for repairs and returns.
*Valves must be returned with flanges on all ports.
*Please fill in all fields and click the "Submit" button. You will be contacted with an RA number ASAP.

Company Details

Company Name

Contact Name

Phone

Email

Bill To

Address

City

State

Zip

Ship To

Address

City

State

Zip

Shipping Details

How are you returning your prodct(s)? (UPS Ground/Next Day Air, etc)

Ship To Method:

Which service is to be used for shipping material back to you?

Ship Return Method:

Return Request Details

PO Number

Job Ref

Item

Serial Number

Return Reason

Please state your reason for return
*If you are returning a product for credit consideration, please contact Maxton
**If your telephone number is an answering service, please note and provide an alternate number where you can be reached.