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RETURN REQUEST FORM

To return an item please fill out this form completely.

Original Order Information
Order Number:
Order Date:
Ship To Name:
Your Name:
Your Email Address:
Your Phone Number:
Ship To Postal Code:

Item to be Returned
Item Number:
Item Description:

Reason for Return
I changed my mind; didn't like
I ordered the wrong item
The item was damaged but NOT due to shipping
The item was damaged during shipping
I received the wrong item; incorrect item was shipped
Other... Please describe in the comment box below

Would You Like a Replacement?
Yes No

Comments / Additional Information

Return Policy
• Items must be returned within 30 days of receipt.
• Returned items may be subject to a restocking fee.
• All items must be returned in the original containers.
I have Read and Acknowledge this Return Policy


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