ReturnRequest-form - Clark's Discount Auto Parts

	ITEM

Warranty request
If you have a part that was purchasedonline from Clark's Discount Auto Parts within the last 12 months and the part has failed due to a manufacturers defect, please fill out the form below and submit it to us. We will email you with a Returned Goods Number and instructions on where to send your item for exchange.

Items in bold are mandatory.

First Name
Last Name
Address
Address #2
City
State
Zip Code
Day Time Phone Number
Email Address used when Placing the Order
Web Order Process Number
Part Number(s) and Description
Brief Description of the Problem