Price and Freight Credit Request Form

To request a credit for freight charges or incorrect pricing on your order, please complete and submit the form below. Once confirmed and approved Bill Hicks & Co., Ltd. will provide a credit to your account within 2-3 business days.

* Denotes required field.

Account Number

Account Name

Account Email A copy of your request will be sent to this address

Credit Type

Invoice / PO #

Amount Requested for Credit

Comments

Invoice / PO #

Part #

Quantity

Invoiced Price

Correct Price

Net Amount

Invoice / PO #

Part #

Quantity

Invoiced Price

Correct Price

Net Amount

Invoice / PO #

Part #

Quantity

Invoiced Price

Correct Price

Net Amount

Invoice / PO #

Part #

Quantity

Invoiced Price

Correct Price

Net Amount

Invoice / PO #

Part #

Quantity

Invoiced Price

Correct Price

Net Amount

Additional comments and instructions

Requested Credit Total 0.00

Please allow Bill Hicks & Co.,Ltd. 2-3 business days to review your request and provide a credit to your account.