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Core Return Form

Fill out the form below to begin your core return process. Fields marked with a * are required.

If you have an order number, enter it into this field to fill in the core return form from the order's information.

Order #:

Contact Information

Distributor Name *
Contact Name *
Address *
City *
State/Province *
ZIP Code *
Country *
Email Address *
Reference # (optional)

Core Information

Core Type *Part # *Quantity * 

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Check this box if you're human *