AFFILIATE COURTESY RETURN NOTIFICATION
 This form is to send a courtesy notifcation to VIR and is NOT a substitute for sending completed Multi Forms.
YOU ARE STILL REQUIRED TO SUBMIT RETURN PAPERWORK TO THE VIR HOME OFFICE.
Affiliate Number (xxxx)
Today's Month & Date (xx/xx)

Your Name

Email Address
Total Returns On This Report

ENTER CUSTOMER RETURN ACTIVITY
There are 12 spaces provided below. If you are reporting more than 12 rentals today, please submit additional reports.

Inventory ID
Renter Last Name
Date Returned

IMPORTANT: PLEASE READ BEFORE SENDING REPORT!
This is a courtesy report and is NOT a substitute for sending a completed Multi Form to Veritas.
The above information will be noted in our system and the customer account will be placed on HOLD.
However, the account will not be closed until VIR receives a completed Multi Form (Return Section).
It is not necessary to print and/or forward any copies of this report to VIR.