Request Return Authorization

Parts to Return
Problem Description

Please provide as much detail as possible. If any troubleshooting steps were taken, please list them here. For product returns, include the purchase order or invoice number and note that a 20% restocking fee applies.

Customer Contact

Provide the contact information for the primary contact. For returns, this person will receive information regarding the restocking fee and credit. For repairs, this person will receive the service estimate and will be contacted with any follow-up questions.

PolyScience customer number

Billing Address
Shipping Address
Return Shipping