HLA VAPE PRODUCT RETURN FORM

VAPE PRODUCTS

HLA RETURN FORM
Today's Date *

Month Day Year
My store is located in the State of: *

Massachusetts Rhode Island
HLA Account # *
Located in your Invoice
HLA Account Name *
As shown on your the invoice.
Enter your email address *
example@example.com
Enter your Phone Number *
Return Details

Select the Products you are returning and input the qty for each.
Terms and Conditions

Selecting the below box confirms that you agree to the Terms and Conditions.
Signature Required

Use this porting once your Return Form is printed.
Retailer Signature: __________________________________ | Driver Signature: __________________________________
Please Print two copies before submitting this form *

Ok. I will print two copies of the form before submitting it. One for my record and one for the HLA driver.
Should be Empty:

VAPE PRODUCTS