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Small Part Request
bbnmcladmin
2019-06-19T13:26:44-05:00
Small Part Request Form
Step
1
of
3
33%
Request replacements for missing or damaged small parts for your customer.
Guidelines
-Product(s) requested must be damaged or missing from customer's original order.
-Product(s) must be shipped directly to the customer.
-You are required to provide a copy of the customer's invoice.
-These products may not be used for your business or stocking purposes.
Order fulfillment is subject to approval. Requests for exchanges will be denied.
If approved, the requested product will be shipped directly to the end-customer. You will be provided with a tracking number via the email associated with your berkeywater.com account.
Customer's Name
*
First
Last
Customer's Phone Number
*
Customer's Email
*
Customer's Shipping Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Customer's Invoice
*
Please upload a copy of the customer's invoice. Be sure to include their name, product ordered and date.
Drop files here or
Select files
Max. file size: 30 MB.
Small Parts
See below for the list of qualifying products.
Customer's product was...
*
(If both: Please submit separate forms for orders with missing and damaged items.)
Missing
Damaged
Vapor Lock
Priming Button
0
1
Prime Rite (BPA)
0
1
2
Filter Priming Kit (FPK-KIT)
0
1
Vapor Lock Clip (1) (SSVAPORCLIP)
0
1
2
Blocking Plugs: White Cork (XRP-WHT)
0
1
2
3
4
5
6
BB9: Wingnuts
0
1
2
3
4
BB9: Washer
0
1
2
3
4
Standard Black Spigot: Whole
0
1
Ceramic: Wingnut
0
1
2
Ceramic: Washer
0
1
2
Sight Glass Spigot: Thick Washer (On Base)
0
1
2
Sight Glass Spigot: Upper Washer (In Tube)
0
1
Sight Glass Spigot: Lower Washer (In Tube)
0
1
Sight Glass Spigot: Wingnut
0
1
Sight Glass Spigot: Brace for 13"
0
1
Stainless Steel Spigot: Metal Washer Cover
0
1
2
Stainless Steel Spigot: Rubber Washer
0
1
2
Stainless Steel Spigot: Wingnut
0
1
Earth: Washer
0
1
2
3
4
Earth: Wingnut
0
1
2
3
4
Lid: Knob
0
1
Priming Pump: Elbow Joint
0
1
Priming Pump: Hex Nut
0
1
Priming Pump: Tubing
0
1
2
Priming Pump: Valve
0
1
2
Priming Pump: Whole
0
1
Dealer Contact Info
*
Dealer's First Name
Dealer's Last Name
Dealer's Company Name
Your Email
*
Notes about the order
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