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Luck Delivery Request Form
By completing this form, you are agreeing to have the below items delivered to you to try for no more than 3 days. Within 3 days of receiving the items, please notify Luck if you would like to keep or return the items. For the items being retained, the below credit card will be charged. Otherwise, all other items will be picked up within 24 hours of requesting a return pick-up, and the below credit card will *not* be charged. If there is any damage to any of the returned items, photos will be provided showing the damage, and the below credit card will be charged.
Date *
MM
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DD
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YYYY
Full name *
Your answer
Phone *
Your answer
Email *
Your answer
Items I would like delivered (1 item per line): *
Your answer
Delivery/Pick-up Address *
Your answer
Requested Delivery Date *
MM
/
DD
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YYYY
Best Delivery Time Window *
Credit Card (items will not be delivered without a valid credit card number, but your credit card will not be charged until you decide to keep the items) *
Credit Card Number
Your answer
Credit Card Expiration Date
Your answer
Security Code
Your answer
Billing Zip Code
Your answer
Submit
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