RETURN AUTHORIZATION.
                      Print out this form, complete and fax back to us.

                 PC Wholesalers. 2045 California Ave. No. 104. Corona, CA 92881
                      


COMPANY NAME:_____________________________      CONTACT NAME:____________________________

ADDRESS:__________________________________      DATE:____________________________________

__________________________________________      PHONE NUMBER:____________________________

__________________________________________      FAX NUMBER:______________________________


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ITEM #1:

MAKE:_________________________  MODEL:______________ DESCRIPTION:________________________

SERIAL NO:____________________  PURCHASE DATE:____________ INVOICE NUMBER:_______________

DETAILED DESCRIPTION OF PROBLEM:_________________________________________________________

_________________________________________________________________________________________

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ITEM #2:

MAKE:_________________________  MODEL:______________ DESCRIPTION:________________________

SERIAL NO:____________________  PURCHASE DATE:____________ INVOICE NUMBER:_______________

DETAILED DESCRIPTION OF PROBLEM:_________________________________________________________

_________________________________________________________________________________________

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ITEM #3:

MAKE:_________________________  MODEL:______________ DESCRIPTION:________________________

SERIAL NO:____________________  PURCHASE DATE:____________ INVOICE NUMBER:_______________

DETAILED DESCRIPTION OF PROBLEM:_________________________________________________________

_________________________________________________________________________________________

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ITEM #4:

MAKE:_________________________  MODEL:______________ DESCRIPTION:________________________

SERIAL NO:____________________  PURCHASE DATE:____________ INVOICE NUMBER:_______________

DETAILED DESCRIPTION OF PROBLEM:_________________________________________________________

_________________________________________________________________________________________

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