MCR-C-0001-5

RETURNED GOODS AUTHORIZATION (RGA) FORM

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CUSTOMER

DISTRIBUTOR

ADDRESS-1

ADDRESS-1 ADDRESS-2

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SERVICE INSTRUCTION CODES: E1 = SAME DAY EXPEDITE, E2 = 24/48 HR EXPEDITE, I = INSPECT ONLY, A = PREAUTHORIZED TO "LEVEL A",B = PREAUTHORIZED TO "LEVEL B", C = PREAUTHORIZED TO "LEVEL C", W = WARRANTY REVIEW REQUEST / INSPECT ONLY, X = NUCLEAR

I DETAILED REASON FOR RETURN OR WARRANTY CLAIMMOOG PART NO.

INVOICE TO:

December 29, 2016

SHIP TO:RETURN CLASSIFICATION:

Check here if order includes a special agreement. Please provide details below:

P.O. NUMBERDATE REC'D:

FORM NO:ISSUE DATE:

Return Address: Moog Inc. Industrial Group Attn: Repair Services300 Jamison Road Building 11DElma, NY 14059

Return Address: Moog Inc., Industrial Group, 300 Jamison Road, Building 11D, Elma, NY 14059Attn: Repair Services

CUST. PO

Expedite Authorization Level Special

Repair

Exchange/Rotable Program

Trade-in

Phone: 716-684-7191 for shipping verification.716-687-4949 for all other inquires.

Use UPS Early AM for expedited repairs.

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