Adjustment Request

Simonton Sales Team Adjustment Request Form for Customers

Instructions: Use the form below to submit an adjustment request on behalf of your customers to the Adjustment Support Team. Upon submitting your request it will be emailed directly to the Adjustment Support Team, a copy of the submitted will also be sent to you via email for your own records.

"*" indicates required fields

Date Requested*

Type of Request*

To Address Quality Issue

To Address Competitive Situation

Customer / Employee Discount

Cancellation Credit

Other (provide detail below)

To Address Quality Issue

To Address Competitive Situation

Customer / Employee Discount

Other Issues

Amount or % Requested*

Distributor Name*

Full Name

Distributor Location

Street Address Address Line 2 City State ZIP Code

Customer Contact

First Last

Order Number*

Line No.

Quantity

Completed By:*

First Last

District Sales Manager

Your Email Address*

Document Upload

Drop files here or

Max. file size: 50 MB.

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