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12
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1
Name
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Purchase Date
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Date
Month
Day
Year
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4
order number
*
This field is required.
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5
Select Refund or Exchange option:
*
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Issue with order (damaged)
Exchange product (wrong item )
Missing items
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6
Please Answer Questions Below
*
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Yes
No
Did you damage/alter product in any way?
Row 0, Column 0
Row 0, Column 1
Have you read the refund policy?
Row 1, Column 0
Row 1, Column 1
<div>Based on the refund policy, are you eligible for a refund? </div><div> </div>
Row 2, Column 0
Row 2, Column 1
Do you understand that we do not refund shipping rates and not responsible for return shipping?
Row 3, Column 0
Row 3, Column 1
Did you damage/alter product in any way?
Have you read the refund policy?
<div>Based on the refund policy, are you eligible for a refund? </div><div> </div>
Do you understand that we do not refund shipping rates and not responsible for return shipping?
Yes
Row 0, Column 0
No
Row 0, Column 1
Yes
Row 1, Column 0
No
Row 1, Column 1
Yes
Row 2, Column 0
No
Row 2, Column 1
Yes
Row 3, Column 0
No
Row 3, Column 1
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7
Attach proof of reason
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: 10.6MB
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8
Additional proof of reason
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: 10.6MB
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9
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10
Notes
have anything else we need to know?
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11
Terms and Conditions
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please read and agree
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12
Please verify that you are human
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