EXCHANGE FORM


Order Number: ___________________
Order Date: ______________________

Name:___________________________________________________________________________

Shipping Address: _____________________________________________________ APT/STE: ____

City: __________________________________ State/Prov: _______Zip/Postal Code: ____________

Phone Number: _________________________ Email Address: ______________________________

 

Items Returned

Product name(s)_________________________________________________________________
Size__________________________________________________________________________
Color
_________________________________________________________________________
Reason
_______________________________________________________________________
Quantity
______________________________________________________________________

 

Exchanges

Product name(s)_________________________________________________________________
Size__________________________________________________________________________
Color
_________________________________________________________________________
Reason
_______________________________________________________________________
Quantity
______________________________________________________________________

 


Replacement items that are more costly than the original item returned will be charged the difference in cost plus re-shipment costs via your credit card:

Fill out the following only if you are exchanging your items.


Credit card type: _____________________ Credit card number: _____________________________

Expiration date: ______________________ CVV number (3 digits on back): __________

Billing address associated with credit card:

Name:__________________________________________________________________________

Address: _________________________________________________________ APT/STE________

City: __________________________________ State/Prov: _______Zip/Postal Code: ___________




Additional requests/comments: