Refund Request Form

Please answer the following:

	Yes	No
Have you read the refund policy?
Based on the refund policy, are you eligible for a refund?

Additional Notes
By submitting this form, you agree that upon acceptance of the return, the refund will be issued as store credit only. The amount is subject to a 15% reduction restocking fee and any shipping fees incurred by the merchant.
Should be Empty: