Merchandise Pick-Up Request

To ensure timely pick-up of your return, please do the following:

Create a photocopy of your packing slip for each package.
- On each photocopy, write the Return Authorization number or Invoice number and “RETURN TO MDS.”
- Tape one copy of the photocopy to the outside of each package.
Place the package(s) on your building’s loading dock or wherever MDS leaves your deliveries.

Contact Person Name:*
First Last
Phone Number:*
Email:*
Vendor*
Return Authorization Number or Invoice Number:*
Department Name:*
Building Name:*
Building Street Address:*
MD Account Number:*
Total Number Of Packages To Be Picked Up:*

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Return Conditions

Merchandise is in original packaging.
Merchandise is in salable condition.
A copy of the original packing slip must accompany the returned merchandise. If no packing slip was received an invoice can be used.
Returns must be made within 30 days of the original shipping date.

*Special orders, in most cases, are not returnable. This includes custom preparations of chemicals or biologicals and, frozen or refrigerated items. Return conditions may vary depending on the vendor. Shipping/restocking fees may also be required for a return. Make sure to contact the vendor for more information.