1. Please provide your order information

Name *

Business Name

Invoice / Order Number *

Order Date *

Date of Delivery *

Phone Number *

Email Address *

Confirm Email Address *

2. Please list damaged items

	Part #	Quantity	Description	Color
1.	Part #	Quantity	Description	Color
2.	Part #	Quantity	Description	Color
3.	Part #	Quantity	Description	Color

Were the damaged items refused or accepted at the time of delivery? *

Refused

Accepted

cservice@aaadisplays.com	AAADisplays.com