Product return form. – Electrical Connection

Please complete this form and include with your returned item. See our warranty and return policy for more information.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Date of purchase.
Where did you purchase the item?*
- Direct from Electrical Connection.
- From an Electrical Connection dealer.
Item(s)*
Item Repair/replace or refund?

Item	Repair/replace or refund?