Furrion Return Form Please enable JavaScript in your browser to complete this form.Application for Defectives/Concealed Damage RMAThese are the following Furrion Requirements. Please go over these requirements and make sure that everything on this checklist is met before you submit your request. Failure to meet all of these Furrion requirements will result in your request being denied.Your Retail Company Name: *Davis Distribution Customer Number:Dealer Phone: *Email: *Date of Installation:Is the unit damaged or defective? *DamagedDefectiveCurrent Location of Damaged UnitsLocation Name:AddressAddress Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContact Name: *FirstLastLocation where damage was discovered:DistributionRetail LocationEnd-UserFirst Item *Add ItemModel:Serial Number:Description:Delivery Date:Second ItemAdd ItemModel:Serial Number:Description:Delivery Date:Third ItemAdd ItemModel:Serial Number:Description:Delivery Date:Fourth ItemAdd ItemModel:Serial Number:Description:Delivery Date:Fifth ItemAdd ItemModel:Serial Number:Description:Delivery Date:Required Sales Receipt for Concealed DamagePhoto 1 Click or drag a file to this area to upload. Sales receipt for concealed damagePhoto 2 Click or drag a file to this area to upload. Serial tag on unit - number must be readablePhoto 3 Click or drag a file to this area to upload. Clear photo of unit damage, including surrounding, TV Must Be On Photo 4 Click or drag a file to this area to upload. Full Picture Of TV On Must Include All 4 CornersAdditional Comments:Submit
