Leerburg.com Return Form

IF YOU ARE PLANNING TO RETURN AN ITEM, PLEASE PRINT & FILL THIS OUT:

Name:________________________________________________________      Date:______-______-______  

Customer ID: (located on invoice)_____________________________________________________________

Phone number or best way to contact you:
________________________________________________________________________________________

Item(s) being returned:

QTY PRODUCT # SIZE COLOR DESCRIPTION PRICE
1 746A 12 Blue Dominant Dog Collar Example
           
           
           
           

Reason for return:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

To help us better please indicate what you would like to do with the item being returned:

_____ Refund back to credit card or PayPal account
_____ Exchange for a different item, please fill out the form below.
_____ Leerburg.com store credit

EXCHANGES:
Please list the items you would like the above exchanged for.

QTY PRODUCT # SIZE COLOR DESCRIPTION PRICE
1 746A 12 Blue Dominant Dog Collar Example
           
           
           
           

If your exchange items are more expensive, just enclose a check or provide Credit card information below:

                               
CVV2:
     
Expires:
   
   

_____________________________________
Signature (Required by credit card company)

SHIPPING ADDRESS for EXCHANGES

Name: __________________________________________________________________________________

Street: __________________________________________________________________________________
________________________________________________________________________________________

City: ____________________________________________ State: _____________ Zip: ________________