Live chat by BoldChat
Live chat by Boldchat



Join our mailing list!





You are here: Home > Parts Request Form

LG Wholesale

Parts Requisition Form
21765 S. Center Ave
, New Lenox, IL. 60451
(P#) 708-669-1237 (F#) 815-462-8468
parts@legionglobal.net

TO BE COMPLETED BY CUSTOMER

BILLING

SHIPPING

Name

 

Name

 

Address

 

Address

 

Address2

 

Address2

 

City State Zip

 

City State Zip

 

Phone

 

Phone

 

E-mail

 

E-mail

 

 

ORDER INFORMATION

Sale #

 

Unit Purchased

 

Sale Date

 

VIN #

 

model

 

 

PAYMENT INFORMATION

Check #

 

Routing #

 

Account #

 

Bank Name

 

 

PARTS REQUISITION

PART NEEDED/DESCRIPTION OF PROBLEM

Quantity

 

 

#

 

Quantity

 

 

#

 

Quantity

 

 

#

 

Quantity

 

 

#

 

Quantity

 

 

#

 

Quantity

 

 

#

 

Please mention any comments in this blank space

subtotal

 

> 

> 

Shipping

 

Total

 

 

Instructions

  • Warranty claims must include SHIPPING payment TO BE PROCESSED MIN. CHARGE IS $15. IF CHARGE IS MORE THAN $15, LG WILL CONTACT CUSTOMER.
  • WARRANTY CLAIMS MUST INCLUDE THE UNITíS VIN #.
  • WITHOUT THE VIN#, A WARRANTY CLAIM WILL NOT BE PROCESSED.
  • PLEASE SEND PICTURES WITH PART ORDER TO CLARIFY PART NEEDED
  • CUSTOMER WILL NOT BE BILLED UNTIL LG WHOLESALE CONFIRMS PART IS IN STOCK
  • PLEASE SEND COMPLETED FORM TO PARTS@LEGIONGLOBAL.NET
  • YOU MAY ALSO FAX THE COMPLETED FORM TO 815-462-8468
  • YOU MAY ALSO MAIL IT TO THE ADDRESS AT THE TOP OF THE PAGE