Please PRINT THIS PAGE and fill out the form below, and include it with your returned item(s).

Customer Name:___________________________________________

Address:__________________________________________________

Order Number:____________

Check one: Return___________   Exchange____________

Reason for Return/Exchange?_______________________

How can we improve? ___________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Additional Notes:_______________________________________________

_____________________________________________________________

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PLEASE BE SURE TO INCLUDE YOUR RECEIPT OR PROOF OF PURCHASE UPON SENDING THIS RETURN. WITHOUT YOUR RECEIPT, WE MAY NOT BE ABLE TO ISSUE A REFUND.