Goods Return for Evaluation Form

Customer/Company:


____________________________________________________________________
Address:


____________________________________________________________________
Phone:


____________________________________________________________________
Fax:


____________________________________________________________________
E-mail Address:


____________________________________________________________________
Invoice:


____________________________________________________________________



The following parts are being sent to Foley Engines for evaluation:

  1. ___________________________________________________________

     
  2. ___________________________________________________________

     
  3. ___________________________________________________________

     
  4. ___________________________________________________________

     
  5. ___________________________________________________________

     

Customer Signature:________________________________________________



Date:___________________

Questions? Please call us at 508.753.2979 or send us

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