Panasonic Return Shipment

Ship From Evaluator Information (required fields in bold) 877-289-2471 btxpanasonic@btxglobal.com

Pickup (Company Name):

Contact Name:

Address 1:

Phone Number:

Address 2:

City / State / Zip:

Email Label To:

SMN Shipment:

Sales Rep. Email

Pieces/Weight:

in lbs

Model #1:

Pickup Date:

Model #2:

Ready Time:

Model #3:

Close Time:

Model #4:

Additional Instructions:

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	Clicking this radio button signifies that the shipper is responsible for the contents being free from defects and/or damages and that the shipment is in its original packaging or a custom case.
	Clicking this radio button shipper signifies that this shipment is NOT in its original packaging and/or may be damaged or defective.
	Clicking this radio button shipper signifies that this shipment is being return to Panasonic due to defectiveness and/or damage.

Product will be shipping to:
	Panasonic Connect ATTN: PanasonicEZDemoPro 1615 Dundee Avenue - DOCK G Elgin, IL 60120
For any inquiries on your product return please contact: PanasonicEZDemoPro