Return Goods Authorization Form
Please note that in order to return goods, an RGA number from SANY is required. 
Date:                                                  
                                                             
Warranty Claim No.    

 RGA #

                      
Customer/Dealer Information  
Dealer ID:                                              
Name:  
Address:  
City:   St:   Zip:  
Phone:   Fax:    
                                                             
Machine  Information  
Product:   Model:  
Serial#   Hours:  
 
                                                             
Items Being Returned:
Qty Part number Description ( Please include component Serial Number if applicable)
     
 
Reason for Return:  

Signature:

   Date:
                                           
Please Submit to: services@sanyamerica.com                                          
Presidents office use only  
Claim:   Approved   Not Approved   President approval: Yes No Date:
 

318 Cooper Circle South | Peachtree City, GA 30269  | Tel: 678-251-2810  | Fax: 770-631-7731