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Hudson Technologies
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Return-Schedule Reclaim
Return-DLA Cylinders
Defective
Return-Empty Cylinders
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Return Empty Cylinders
1. Empty Cylinder Summary
2. Cylinders
Customer Details
Company Name
*
First Name
*
Last Name
*
Title
*
Email Address
*
*
Business Phone
*
Pickup Address
Street 1
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Street 2
*
City
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State/Province
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ZIP Code
*
Country
United States
Puerto Rico
Additional Details
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Customer Records
Customer
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Portal Inquiry Type
Defect or Damaged Goods
Return - Schedule Reclaim Pickup
Return - Empty Cylinders
Return - DLA Cylinders
Origin
Phone
Email
Web
Manual Entry
SharePoint
Order Details
Customer Purchase Order
*
Hudson Invoice Number
*
Total Quantity of Pallets
*
*