Order/Shipping Discrepancy Request Form

For KHS Bicycle and Parts Dealers Only,

Please fill in all fields with as much information as possible so we can better service you. We require your KHS Account number, which appears as you Customer ID on your invoices and packing slips from KHS, so we know we are dealing with the correct account.

Thank you for your help.

If you prefer, you may print, complete, and mail or fax to us at:

KHS, Inc.
2840 E. Harcourt St.
Rancho Dominguez, CA 90221
Fax: 800-720-4547

First Name
Last Name
Store Name
KHS Account Number
Best time to call
Time Zone
Please explain the situation
Does the order have a defective, damaged, incorrect, missing item or something other?
Sales Order Number
Sales Order Date
What's wrong or missing?
More detail, if necessary
Requested action