KHS :: Order Discrepancy Report Form

Your Information

* First Name

* Last Name

* Store Name

* KHS Acct#

City

State

Please provide your phone number, best time to call, and your time zone so we can efficiently contact you should we need more information.

* Phone

* Best Time To Call

* Time Zone

In order to fight spam, please type in the code you see on the right below. Thank you.

* Verify Verify

Order Information

Sales Order Number

Sales Order Date

In the field below, you can select multiple problems by holding down CTRL.

* What's wrong

Please explain in detail what is wrong. Use Item Number so we can identify the item you are referring to. For incorrect quantity, note below: item number, qty ordered, and qty received.

Error Details

* Requested action

Replace Part

Credit Account

ARS Tag Part(s)

Additional Information

Please send us some pictures to help us determine how to best service you. Only jpg/jpeg, gif, and png file formats are accepted.

Picture 1

Picture 2

Comments or Additional Information

Script by Dagon Design

		Dear Dealers, Thank you for using this form to report an order discrepancy. By using this form, you are ensuring that we accurately receive the information of the issue. We will contact you if more information is needed. Thanks!

Order/Shipping Discrepancy Request Form For Dealer Only Please fill in all the fields with * and as much information as possible so we can better service you. We require your KHS Account number, which appears as you Customer ID on your invoices and packing slips from KHS, so we can verify it against the store name. Thank you. If you prefer, you may print, fill out, and mail or fax to us at the info at the bottom of the page. Your Information * First Name * Last Name * Store Name * KHS Acct# City State Please provide your phone number, best time to call, and your time zone so we can efficiently contact you should we need more information. * Phone * Best Time To Call * Time Zone Email In order to fight spam, please type in the code you see on the right below. Thank you. * Verify Order Information Sales Order Number Sales Order Date In the field below, you can select multiple problems by holding down CTRL. * What's wrong Please explain in detail what is wrong. Use Item Number so we can identify the item you are referring to. For incorrect quantity, note below: item number, qty ordered, and qty received. Error Details * Requested action Replace Part Credit Account ARS Tag Part(s) Additional Information Please send us some pictures to help us determine how to best service you. Only jpg/jpeg, gif, and png file formats are accepted. Picture 1 Picture 2 Comments or Additional Information Script by Dagon Design
KHS Inc. 2840 E. Harcourt St. Rancho Dominguez, CA 90221 ph 310-632-7173 ext. 255 fx 310-632-3773

Order/Shipping Discrepancy Request Form