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LG Wholesale
Parts Requisition Form 21765 S. Center Ave, New Lenox, IL. 60451 (P#) 708-669-1237 (F#) 815-462-8468 parts@legionglobal.net
TO BE COMPLETED BY CUSTOMER
BILLING |
SHIPPING |
Name |
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Name |
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Address |
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Address |
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Address2 |
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Address2 |
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City State Zip |
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City State Zip |
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Phone |
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Phone |
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E-mail |
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E-mail |
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ORDER INFORMATION |
Sale # |
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Unit Purchased |
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Sale Date |
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VIN # |
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model |
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PAYMENT INFORMATION |
Check # |
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Routing # |
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Account # |
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Bank Name |
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PARTS REQUISITION |
PART NEEDED/DESCRIPTION OF PROBLEM |
Quantity |
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# |
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Quantity |
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# |
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Quantity |
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# |
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Quantity |
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Quantity |
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Quantity |
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# |
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Please mention any comments in this blank space |
subtotal |
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Shipping |
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Total |
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Instructions
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Warranty claims must include SHIPPING payment TO BE PROCESSED MIN. CHARGE IS $15. IF CHARGE IS MORE THAN $15, LG WILL CONTACT CUSTOMER.
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WARRANTY CLAIMS MUST INCLUDE THE UNIT’S VIN #.
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WITHOUT THE VIN#, A WARRANTY CLAIM WILL NOT BE PROCESSED.
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PLEASE SEND PICTURES WITH PART ORDER TO CLARIFY PART NEEDED
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CUSTOMER WILL NOT BE BILLED UNTIL LG WHOLESALE CONFIRMS PART IS IN STOCK
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YOU MAY ALSO FAX THE COMPLETED FORM TO 815-462-8468
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YOU MAY ALSO MAIL IT TO THE ADDRESS AT THE TOP OF THE PAGE
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