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DAMAGED & INCORRECT ORDERS FORM

Customer Information

Purchase Date:
Month
Day
Year

Issue Details

Item(s) Affected:

Issue Type:

Photo Evidence (Required for Processing)

Multi choice

Preferred Resolution

Multi choice

Return Shipping Information

Date of Return Shipment:
Month
Day
Year

Additional Notes

Customer Declaration

I confirm that the information provided is accurate and that I have read and understood the return policy.

Date:
Month
Day
Year
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