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Return Request Form
Please read and understand our
Return Policy
before filling out this form.
Original Order Information
Order Number:
Order Date:
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January
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2005
2006
Ship To Name:
Your Name:
Your Email Address:
Your Phone Number:
Ship To Postal Code:
Item to be Returned
Item Number:
Item Description:
Serial Number:
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
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