NOTE: this is NOT the form you need if you ordered the incorrect item.

Name:      

Phone Number:      

Email Address:      

Order Number:      

Order Date:      

Payment Type:       Choose One Credit Card Through Site CC through Paypal Paypal Account

Reason for Return:       Choose One Damaged In Shipping Damaged Internally Defective Item is not what I ordered

Is Item in original packaging:            Choose One Yes No

Do you want another item:            Choose One Yes No

if no, you will be responsible for all shipping charges and will be charged a 25% restocking fee.

if yes, your reshipment will be submitted to the warehouse immediately

Item(s) to be returned:     

please include name of item, and the problem with the item, if any.

Notes:   

By submitting this form, you agree that all information provided is accurate to the best of your knowledge. We rely on accurate information to get our returns and refunds taken care of as quickly as possible.. 

If you choose to have your item reshipped and you choose to cancel or refuse after shipment of replacement, you will be responsible for all shipping charges with the reshipment.

Damaged items may only be able to be shipped as a whole unit, specific parts may not be able to be sent.

Today's Date:      

For Employee Use only

Vendor Name:        

PO Number:        

Employee: