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RMA Form        Order Number:_________

Ship To:

Liljellybeans Kids Processing Center 913 shetland lane Williamstown, New Jersey 08094

From:

Address:____________________________________________

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Contact Information:

Name:______________________________________

Seller Id: __________________ (if applicable) Date: __________

Phone:______________________________________________

Item Description:

Item(s):_________________________________________________________________

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Reason for Return:

_______________________________________________________________________

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