Merchandise Damage Form

* Must be filled out
You may print this form out - Fill it - Sing it and send it with the damaged merchandise.

* Name:

* Address I:

Address II:

* City:

* State: *Zip:

* Day Phone:( )

* Evening Phone: ( )

Email:

* Received Date: / /

* Total Number of Item(s):

* Total Damage Item(s):

* Damage of the item (please be in detail)

X Signature: Date:

Note: Please sign the form else there will be no process. Allow us at list 7 working days to process your request. If the form is received without the damaged item(s), there will be no process. Make sure you provide us correct information and please be CLEAR with your hand writting. There may be delay due to lake of clearlessness. Thank you.