RMA Form

Company Name

Telephone

Contact Name and Last Name

Email Address

Glenair IT Advice Note/COC No: *Requests with anything other than one part number and one Glenair IT Advice Note/COC number will be rejected.

Glenair Part Number

Rejection Note Number

Quantity to Return

Reason For Return: (Please give as much detail as possible and add an image if available)

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GDPR Compliance

I have read the Privacy Policy and I am aware of the purposes of the processing of my data and of the legal basis that legitimizes it.