RGA Credit Rebill Form Transaction Request*Credit/RebillRGAWho is Responsible for the Error?*AR DepartmentCustomerCustomer ServiceInside SalesOperationsPricingSales RepSales SuppoprtSystem ErrorVendorOrder Entered By:* Date* MM slash DD slash YYYY Account #* Ship To Location #* Account Name* Address Street Address City State StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Delivering Facility*Canterbury, CTDover, NJEast Hartford, CTHampden, MEKingston, NYManchester, NHSpringfield, MASt. Johnsbury, VTSyracuse, NYTonawanda, NYWestbrook, MEWest Rutland, VTYoungwood, PAX-DirectShSales Rep Assigned* Invoice/Order Request is Concerning* *ProductPart #QuantityPrice Total Credit Request Amount*Date of Sale* MM slash DD slash YYYY Reason for Credit/Rebill | RGA?*CommentsForm Filler's Email* Sales Rep*Anthony CieriArmand MustoArthur JordanBenjamin FossBill RedmondCarl CimmererCarl SansaloneChickey StevensChris BishopChuck ArrrigoDaniela RickettsDave CultreraDavid DealamanDarren RinnDon FreemanGeorge RommeneyGreg Van HooseIan KellyJames KalieJavier RiosJeff MorrisJeremy BlosseyJim RogersJohn OlingerJoseph SchepisJoshua HopkinsJustin MillerKyle GardulloLaura KellyLonnie LongLynsey CantaliniManisha SharmaMark DelisleMatt PrinitzMike BlakeMike CoskaNorm LavertuObadiah AdlerRich FlahertyRick CalteauxRick SignorRobb MackenzieRob WilsonSandy MarcouxScott JancoSteve EbbrechtTimothy CollinsTim HarrisTom LuthringerTony AltobellTerry KellyNationalLow Gross Margin : LGMAccount House : HAWholesale : WHLOther DistributorRSM*Carl CimmererDavid FendersonGary BelenkoGreg VanHooseJohn ReidJohn ScanlonManisha SharmaPeter EarleRich FlahertyRobert PhillipsWendy RobertsonNational AccountHouse AccountLow Gross MarginSales Support RepAmy GliddenErin RookJeffrey ZielinskiMark DelisleTerrance Houston