Company Name:

Address:

Name:

Title:

Email:

Phone:

Notes:
1 – RMA number must appear on the outside of the return packaging. One copy of of the RMA form must be enclosed with the returned materials.
2 – Please e-mail shipment tracking number to
3 – Return of material must comply with applicable terms and conditions of the original order.
4 – If item is no longer under warranty, Customer will be advised of replacement cost or cost of repair prior to work being carried out.
5 – Shipper acknowledges that above materials are properly classified, packaged, marked, labeled, and ready for transportation according the to applicable regulations set by the Department of Transportation.
6 – All material is subject to Victory Energy Inspection and final disposition.

Return Material to:
Victory Energy Operations, LLC
10701 E. 126th St. North
Collinsville, OK 74021