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ATV — HIGH ALTITUDE
PARTS RETURN
AUTHORIZATION REQUEST
PARTS FOR USE AT HIGH ALTITUDE
DEALER NAME:
________________________________________
✓ Please submit only one request per week.
PART NO.
Please complete this form and fax it to obtain a RETURN AUTHORIZATION.
Fax Number (U.S.A.): 1-800-366-3880
Fax Number (Canada): 1-800-361-7143
Return parts with RETURN AUTHORIZATION and this form.
6 / 6
sales@midwestmanuals.com
MODEL
SERIAL NO.
NO.
sales@midwestmanuals.com
DEALER NUMBER:_________________
State/Province:__________________
Country:_______________________
QTY
REASON CODE
2009-6
BRP USE ONLY
RECEPTION
DATE
SERVICE
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Troubleshooting
