Form for Customer Return

Return Form
MarMed GmbH
- Abteilung Retouren Auf der Kupferschmiede 1
D-35091 Cölbe
_
Dear Customer,
please fill in the form before returning and attach it to the package, so we can process your
return quickly.
Please ensure that goods are returned to us postage paid. Shipments made at our cost will
not be accepted!
Customer Number: D _ _ _ _ _
Name: ______________________
Invoice- or Order Confirmation Number: 201_5 - _ _ _ _ _ _
Item number and description:
_______
______________________________________________________________
_______
______________________________________________________________
_______
______________________________________________________________
Reason for return (please tick):
_
Damaged goods
Goods ordered incorrectly
Goods supplied incorrectly
Exchange / reappointment
_____________________
O
O
O
O
O
Comments:__________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Practice stamp
Date: _ _ . _ _ . _ _ _ _
Signature: __________________

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