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: ________________