WishBombs Exchange Form

1

Request Type

Return

Exchange

Damanged Order

Incomplete / Incorrect Order

Defective Product

Other

2

Name* This field is required.

First Name

Last Name

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

Order Number

6

Purchase Date* This field is required.

Date

7

Has the product been opened?* This field is required.

YESNO

8

Is the product in good condition?* This field is required.(Packaging, sealed)

YESNO

9

Please Provide Reason / Details* This field is required.What Happened? (or didn't happen)

10

What Did We Miss* This field is required.

11

Mailing Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

12

Original Receipt (Smart Phone Friendly)* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

13

Damage Type

Broken Glass

Burst Bottles

Crushed Box

Other

14

Product Photo Upload* This field is required.Please Snap a Picture of the Product (Smartphone Friendly)

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

15

Return Tracking #

16

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