Costco Return Authorization Request

Date*
Date Format: MM slash DD slash YYYY
Costco Warehouse Location Number*
Store Address*
Street Address City State / Province / Region ZIP / Postal Code
Enter Contact Information
Your Name*
First Last
Email*
Phone*
Enter Card Information
RTV Document Number*
Item Description*
Reason For Return*
Quantity of Units Returned*
Since you have more than 10 Units, please tell us how to reach you and our representative will contact you shortly.*
Unit 1
Card 1*
Card 2*
Unit 2
Card 1*
Card 2*
Unit 3
Card 1*
Card 2*
Unit 4
Card 1*
Card 2*
Unit 5
Card 1*
Card 2*
Unit 6
Card 1*
Card 2*
Unit 7
Card 1*
Card 2*
Unit 8
Card 1*
Card 2*
Unit 9
Card 1*
Card 2*
Unit 10
Card 1*
Card 2*

Enter Contact Information