Name *

First Name

Last Name

Phone *

(###)

###

####

Would you like to return your item for store credit or an exchange? *

Store credit

Exchange

Do you agree to be charged the difference in item value, if applicable? *

Yes (required for exchange)

No (the exchange will not be accepted)

Not applicable (store credit only)

Do you agree to take responsibility for any damage or loss that may occur during return delivery? *

In the event that the item is damaged or lost during return shipping, you will be responsible and charged accordingly, or the return may be invalidated.

Yes (required for return)

No (the return will not be accepted)