RETURN / EXCHANGE FORM

RMA #:  (call/email customer support)
Order #:
Name:
Email:
Postage and Handling
$4.95  < $20
$7.95  $20.01 - $60
$12.95  $60.01 - $85
$18.95  $85.01 - $120
$24.95  $120.01 - $180

List item(s) you are returning/exchanging
Return code:   (D) defective(I) incorrect item(U) unopened
Return Code Exchange/Return Item Color Orifice Insert Type Price Paid
(total only the item(s) marked "D" or "I", else leave as "choose") >  Shipping:
Total value of returned item(s):

New item(s) you are requesting
(use this portion only for item(s) marked "Exchange" above)
  Item Color Orifice Insert Type Price
 
 
 
 
 
 
Shipping:
Total value of requested exchange:
Grand Total: 
**This is your money order amount!**
If the "grand total" is a negative amount, no money order is needed. You will be reimbursed instead.

Print and mail this completed form along with your return and money order!
*Money orders only. Cash and checks are NOT accepted*