SELCO - Return Material Form

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Return Material Form

If you have a product you wish to return to Littelfuse Selco, you must fill in this form before returning the product.

Fill in the form below with all the needed information. Include all the products you need to return, in the same form!.

Please feel free to attach files (photo, log files etc.) that can support your detailed description.

Company: *
Contact person: *
Address: *
Postal code: *
City: *
Country: *
Phone: *
Email: *
Customer ref.:
Invoice number.:
Accept repair fee * Employ if guarantee no longer applies Help me	Yes, I accept the repair fee
	Include another product
	Attach file(s) Remove Attach another file Remove Attach another file Remove Attach another file Remove Attach another file Remove

Quick Guide


1	Fill in the form.
2	Click on "Send"
3	Print the form
4	Send the printed document with the package you return.