CUSTOMER RETURN FORM
1) Contact Information
Name:____________________________________________
Address:__________________________________________
City:____________________ State:________ Zip:_________
Email:_____________________________ Ph:_____________
Your Order Number:_________________________________
2) Shipped To If Different
Name:____________________________________________
Address:__________________________________________
City:____________________ State:________ Zip:_________
Email:_____________________________ Ph:_____________
3) Reason For Return
Wrong Size Ordered:_________________________________
Defective:__________________________________________
Other:_____________________________________________
4) How Shall We Resolve Your Issue?
Merchandise Exchange: YES______________NO__________
If Yes/Reorder Here: Style:_________________Color:___________________Size:______
If the value of your exchange exceeds the cost of your original purchase we will charge your credit card for the difference.
Credit Card: YES, Charge My Card For Balance Due:________________________(add your initials)