Candela
Phone: (800) 922-9226
Fax: (800) 822-8226
Email:
sales@candelacorp.com
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Standard RGA
Order Information
You must submit either a valid order number OR a valid invoice number.
Order Number
*
########
Invoice Number
*
########
Customer Information
Customer Number
######
Company Name
Company Name
Contact Information
Name
*
First
Last
Email Address
email@example.com
Phone
###
###
####
Ext
Fax
###
###
####
Products to be Returned
Product
Candela Part Number (as shown on invoice)
Qty Shipped
Qty Returned
Product
Candela Part Number (as shown on invoice)
Qty Shipped
Qty Returned
Product
Candela Part Number (as shown on invoice)
Qty Shipped
Qty Returned
Product
Candela Part Number (as shown on invoice)
Qty Shipped
Qty Returned
Product
Candela Part Number (as shown on invoice)
Qty Shipped
Qty Returned
Reason for Return
Please describe the reason for the return.
