PD Core Deposit Return Form - GE Appliances

Core Deposit Return Form

You must fill out ONE form for EACH pallet or box of parts.

Please include a Core Deposit Return Form for every pallet or box of parts returned. Include the number of Core control boards returned on each pallet or box. Only return control boards in boxes with an official GE Appliances Core Deposit label.

Total number of Core Returns being shipped for Credit: __________

Total number of Pallets or Boxes in this shipment:

__________

Number of each part: WR55X10942C______ WD21X24900C______ WR55X11098C______

Parts Distributor Account Number: ___________ Parts Distributor Company Name: ______________________________________________

Location/Branch and address:

______________________________________________

______________________________________________

Phone Number:

_______________________

Branch Person Authorizing Return: _______________________

Date:

_______________________ (MM/DD/YYYY)

Core Returns SHIPPING ADDRESS:

GE Appliances ? SSI Attn: Michael Savage 4451 Robards Ln. Louisville, KY 40218 (502) 992-7316

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