Weinbrenner Shoe Company, Inc.Quality begins with me

DEFECTIVE RETURN AUTHORZATION REQUEST In order to expedite the processing of your RMA number, please fill out this form completely and e-mail or fax to 800-569-6817. Once your RMA request is processed, we will return your form with a Return Merchandise Authorization number via e-mail or fax. Return address at bottom of page. Please include a copy of this form with your return.

Customer Information

Company Name: Telephone:Shipping Address: Fax:

E-mail:Contact Person: Account Number

DISCONTINUED ITEMS ARE NON-RETURNABLE, UNLESS FOR DEFECT CREDIT

QTY STOCK# SIZE/WIDTH

INVOICE OR PURCHASE

ORDER#

UNIT PRICE POSSIBLE DEFECT

HAS THE BOOT BEEN REPLACED

Y/N

TOTAL QTY:

Please select one: Credit Replacement

PH: 800-826-0002 FAX: 800-569-6817

THOROGOOD WILL REPAIR FOOTWEAR WHENEVER POSSIBLE.

Send footwear to: NuShoe Inc., Thorogood Returns Goods Program, 8534 Siempre Viva Road, San Diego, CA 92154

QAP 13.1 J Rev. 02 09/14/18 Page 1 of 1

RA#