Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Order Number
*
Reason for return
*
Product Type that you are returning
*
Wine
Whisky/ Whiskey
Beer/ Ciders
Seltzers
Spirits
Bubbles
Mixers
Please add SKU you wish to return
*
Please type in the Address for Collection
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Purchase
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date of Collection
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
No weekend collections.
Payment Method
*
EFT
Credit Card/ Debit Card
PayFlex
Please attach either an account confirmation letter or copy of your bank statement
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Please attach 2 images of each product you are returning. Arial view front, Arial view Back or Close Up if damaged
*
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of
Additional comments or feedback
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*
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