Sellacc.com

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( Return Merchandise Authorization ) Request Form

Return merchandise to: P.O. Box 1168, Norwalk, CA 90651-1168

PLEASE PROVIDE THE FOLLOWING ALONG WITH YOUR R.M.A.MERCHANDISE:

· R.M.A. FORM ALONGWITH PROOF OF PURCHASE (COPY OF INVOICE) OF ALL RETURNS THAT ARE INWARRANTY. *ALL RETURNS WILL BECONSIDERED OUT OF WARRANTY IF SHIPPED WITHOUT AN R.M.A. FORM AND PROOF OFPURCHASE, AND YOU WILL BE NOTIFIED OF THE COST OF REPAIR.

· R.M.A. NUMBER,WHEN RECIEVED MUST BE WRITTEN VISIBLY ON THE SHIPPING CARTON.

· RETURN ONLYTHE DEFECTIVE ITEMS!

· PLEASE CHECK TOMAKE SURE THAT ALL RETURN ITEMS WERE PURCHASED FROM THE STORE YOU ARE RETURNINGTO.

· ALL NON-DEFECTIVERETURNS ARE SUBJECT TO A MINIMUM FIFTEEN (15%) PERCENT OR MORE RESTOCKINGFEE FOR CREDIT.

· 30 DAY WARRANTY: NOWARRANTY FOR ITEMS PURCHASED AT UNDER TWO ($2) DOLLAR UNLESSMANUFACTURER’S DEFECT.

NAME:_____________________________________________________________________________

SHIPPINGADDRESS:________________________________________________________________

EMAIL:____________________________________________________________________________

USER ID:__________________________________________________________________________

R.M.A.#:___________________________________________________________________________

ITEMS TO RETURN

1) Inv. Date	Order/Record #:	Item #:	Quantity:	Unit Price: $
Item Description:
Reason for Return:			Exchange [  ]       Refund [  ]
2) Inv. Date	Order/Record #:	Item #:	Quantity:	Unit Price: $
Item Description:
Reason for Return:			Exchange [  ]       Refund [  ]
3) Inv. Date	Order/Record #:	Item #:	Quantity:	Unit Price: $
Item Description:
Reason for Return:			Exchange [  ]       Refund [  ]