{exp:freeform_next:submissions token="{segment_5}" form="{segment_3}"}

We've received your RMA request.

Please print this page and include it with your shipment. A copy of your information has also been emailed to you at: {submission:email:value}.

Securely pack your return merchandise and ship to:

{gv-address-main}

Your information

{submission:name:value}
{if submission:org:value} {submission:org:value}
{/if} {if submission:tel:value} {submission:tel:value}
{/if} {submission:email:value}
{if "{submission:rma_requested_action:value}" == "exchange"}

Return shipping address (for exchanges)

{if submission:shipping_attention:value} {submission:shipping_attention:value}
{/if} {if submission:shipping_street_address:value} {submission:shipping_street_address:value}
{/if} {if submission:shipping_city:value} {submission:shipping_city:value},  {/if} {if submission:shipping_state:value} {submission:shipping_state:value}  {/if} {if submission:shipping_zip:value} {submission:shipping_zip:value} {/if}
{if submission:shipping_country:value} {submission:shipping_country:value} {/if}
{/if}
Merchandise you are returning
{if submission:rma_po_number:value} Original PO number: {submission:rma_po_number:value} {/if} {if submission:rma_smith-root_order_number:value} Smith-Root order number: {submission:rma_smith-root_order_number:value} {/if} {submission:rma_list:layout} {layout:columns} {/layout:columns} {layout:rows} {row:columns} {/row:columns} {/layout:rows}
{column:label}
{column:value}
{/submission:rma_list:layout}
Requested action
{submission:rma_requested_action:value}
{/exp:freeform_next:submissions}