Skip to content
Menu
Cart
Cart
Home
About Us
Products
Circuit Breakers
Converters
Distribution Panels
Energy Management
Fuse Panels
Replacement Units / Upgrades
Power Centers
Transfer Switches
Outdoor Power Outlets
TempAssure™
Services
Warranty Coverage
Locate a Dealership
Certified Dealership Program
Extras
F.A.Q
Aftermarket Information
Breaking News
Archived Tech Docs
Dealer Resources
Contact
Widgets
Search by Name or Part Number
Search for:
Search
Close Menu
Close Cart
Warranty RGA Request Form
Date:
*
Billing Information
Shipping Information
Company:
Shipping Name:
Billing Address
*
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
Contact Information
Contact Name
*
Contact Phone:
*
Contact Email
*
Customer Name:
*
First
Last
Product / Repair Information
Product Model Number:
*
Quantity:
*
Product Purchased From:
*
Select value
Amazon.com
eBay
Walmart.com
Other
Purchase Date:
*
Reason for Return:
*
Comments:
Options:
Customer's coach is repaired (send in part for evaluation)
Customer's coach is waiting on part for repair (send part for evaluation / EXPEDITE)
Send replacement immediately (you will need to fill out and sign PPS credit card authorization form)
Credit my account (for OEMs and Parallax distributors only)
Submit
Reset
Call Now Button
