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Product Returns
If you would like to return merchandise purchased from Upchurch Scientific, please fill out the return form below. Any product returns must be requested within 30 days of purchase date or a minimum 10% re-stocking fee will be assessed.

When you are finished filling in the required information, click the 'Submit Request' button.
If you are returning an Upchurch Valve, please print out the form provided here and return it with your Valve. Please note, that you will still need to contact Upchurch Scientific Customer Service prior to the return.

*Indicates required information.

Contact Information


*Name
*Phone Number


FAX Number


*Email Address

Purchase Order Number


Upchurch Order Number


Invoice Number (if available)




Part Information


Please list the parts and quantities to be returned.

Reason for Return?

PLEASE NOTE: After submitting this form, you will receive a 'Return Authorization' number from us. Once you receive this number, please send us the merchandise. We cannot accept returned merchandise without a 'Return Authorization Number'.

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