Name of Shop:_______________________________________Account#___________SI#___________

Paid by Credit Card – Please credit ______               Please send a replacement ______

Net 30 Customer -
Please issue credit and I will deduct when I pay the invoice.   ______

My phone # is:     __________________________

My fax # is:          __________________________

Signature:________________________________

Thank you……………….Settings, Inc.  Customer  Service
Damaged or Shortage   (Please circle one)
Quantity
 Item #
 Description
 Type of Damage
       
       
       
       
       
       
       
Settings, Inc.
Please print out this form and fax to 847-438-1320.