RETURN INFORMATION SHEET


Susquehanna RV
2084 Route 522
Selinsgrove, PA 17870
(570) 374-2267



To insure an accurate and timely credit for items you are returning:
  1. Print this form.
  2. Complete this form, providing requested information.
  3. Send the items you are returning, this completed form and the packing slip to Susquehanna RV using the address above.
NAME: _________________________________ ORDER NO.___________________

Address:

_________________________________

_________________________________

City___________________ State______ ZIP_____________


Credit Card Information:

Type of Credit Card (e.g. Master Card, Visa) _____________________

Credit Card Number ____________________________

Expiration Date ___________________________


Please complete following information regarding the items returned.

Item Number Qty. Price/each Price Total Reason for return