Department Store Return and Exchange Form

Department Store Return and Exchange Form

Please complete this form to initiate your return or exchange. Make sure to include your receipt and any original packaging.

Customer Information

Name

    Email

    Please provide your email address.

      Phone Number

        Address

          Preferred Contact Method

            • Phone

            • Email

            • Mail

            Purchase Details

            Order Number

            Purchase Date

            Item Description

            Item SKU/Code

            Reason for Return/Exchange

              • Defective

              • Wrong Item

              • Unwanted Gift

              Preferred Action

                • Refund

                • Exchange for Item

                Name:

                Date:

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