Order Number

Order Date ( mm / dd / yyyy )

Ship To Name

Ship To Address

Ship To City, State, Zip
,

Your Name

Your Email Address

Your Phone Number

Item to be Returned

Item Number

Item Description

Reason for Return

I changed my mind; did not like
I ordered the wrong item
The item was damaged but NOT due to shipping
The item was damaged during shipping
I received the wrong item; incorrect item was shipped
Other...please describe in the comment box below

Would you like a replacement?

Yes
No

Comments / Additional Information

Return Policy

• Items must be returned within 30 days of receipt.
• Returned items may be subject to a restocking fee of 15% if returned after 30 days.
• All items must be returned in the original containers.
• There are no refunds or exchanges on special orders. No exceptions.

I have Read and Acknowledge this Return Policy