Bicycle ONLY Warranty/Return Request Form

For KHS Bicycle  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.

If you have or can take pictures of the issue, please mention that in the text field and submit to (Sorry, this form does not allow attachments.)

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

Store Name
KHS Account Number
City, ST
Best time to call
Please explain the situation
Is the part defective, damaged, something is missing or other
KHS Order Number
KHS Part Number
How old?
Had it for...
If customer has had it, for how long (# Months/Years)
What's wrong or missing?
More detail, if necessary
Requested action