Shipping Refund Form
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Contact Information
First Name: *
Last Name: *
Email Address *
Phone Number *
Full Shipping Address *
Item information
Order Number(s): *
Item Number(s): *
Date item was purchased *
MM
/
DD
/
YYYY
Date item arrived *
MM
/
DD
/
YYYY
Refund Information
Once this form has been processed and approved we will send you an email notifying you of your 25% refund.

The refund credit will automatically be applied to your credit or the original payment method within 10 days.
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