Device Return Form
Qualification
*
Date
*
-
Month
-
Day
Year
Date Picker Icon
Store Name
*
Sales Rep Name
*
First Name
Last Name
Reason for Return
*
Please Select
1.Device Defective
2.Customer Remorse
3.Dead on arrival
4.Incorrect Item ordered
5.others
Customer Name
*
First Name
Last Name
Customer Phone #
*
-
Area Code
Phone Number
IMEI #
*
Original Sales Reciept#
*
Return Receipt#
*
Memo
*
Submit
Print Form
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