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Refund/Return Form
1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Purchase Date
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Date
Month
Day
Year
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4
Order #
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5
Product Name
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6
Where Did You Purchase Your Product?
Las Vegas North Premium Outlet Vending Machine
Website
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7
Reason for Refund/Return
Product Is Not As Described
Wrong Product Delivered
Don't Need It Anymore
Wrong Texture
Other
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8
Additional Notes
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9
Terms and Conditions
*
This field is required.
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