Free Exchange And Return Authorization Form Template

Exchange And Return Authorization Form

Please fill out this form to request an exchange or return for your purchased item(s).

Customer Information

Name

    Address

      Phone number

        Email

          Purchase Details

          Order Number

            Purchase Date

              Item(s) for Exchange/Return

              Item Name/Description

              Quantity

              Reason for Exchange/Return

              Preferred Resolution

                • Exchange

                • Return (Refund)

                • Store Credit

                Additional Comments (Optional)

                  Authorization

                  By signing below, I confirm that the information provided is accurate and I understand the store's exchange and return policy.

                  Name:

                  Date:

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