RGA Credit Rebill Form Transaction Request*Credit/RebillRGAWho is Responsible for the Error?*AR DepartmentCustomerCustomer ServiceInside Sales RepOperationsPricingSales RepVendorOrder Entered By:*Date* Date Format: 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* Date Format: MM slash DD slash YYYY Reason for Credit/Rebill | RGA?*CommentsForm Filler's Email* Sales Rep*Al DayAmy GliddenArmand MustoArthur JordanBill RedmondBrad SteinBreen BagleyCarl CimmererCarl SansaloneChickey StevensChris BishopChuck ArrrigoDaniela RickettsDave CultreraDave SterlingDavid DarlingDavid DealamanDebra ErlerDon FreemanErin RookFran MillsGeorge RommeneyGreg Van HooseIan KellyJavier RiosJeffrey ZielinskiJeff MorrisJeremy BlosseyJim RogersJohn OlingerJordan ScanlonJoseph SchepisJoshua MalczakKyle GardulloLaura KellyLonnie LongLou CoboLynsey CantaliniManisha SharmaMark DelisleMatt PrinitzMike BlakeMike CoskaNorm LavertuRich FlahertyRick CalteauxRick SignorRobb MackenzieRob WilsonRuss HerseySandy MarcouxScott KominskiSteve EbbrechtTimothy CollinsTim HarrisTom LuthringerTom McShaneTony AltobellRobert PhillipsTom McShaneNationalLow Gross Margin : LGMAccount House : HAWholesale : WHLOther DistributorRSM*Carl CimmererGary BelenkoGreg VanHooseJohn ReidJohn ScanlonManisha SharmaPeter EarleRich FlahertyRobert PhillipsWendy RobertsonNational AccountHouse AccountLow Gross MarginSales Support RepAmy GliddenErin RookJeffrey ZielinskiMark DelisleTerrance Houston