Receipt Number*

Brand Name*

Item Description*

First Name*

Last Name*

Your Email*

Phone Number*

Address*

Why would you like to return the item(s)?

Reason for return:*
---The product is defective or damagedThe product is not what I ordered or not as describedOther

If Other, please state reason

Quantity:*
---12345

Preferred action:*
ExchangeRefund

Comments (Optional)

How would you like to return the item(s)?

Please collect the item from my addressI will use my own courier