135 Prairie Lake Road
East Dundee, IL 60118

1. Identify your Order or Invoice Number below.
2. List the Item Number(s) you are returning and the corresponding description.
3. Choose the appropriate Return and Action Code.
4. If you are choosing Action Code E, please complete the second row with your Exchange Item Number and Description.
5. Gift Returns: Please note the e-mail address you would like your merchandise credit to be issued to.
    If you would like to have credit issued back to the purchaser's account, please note that in the comments section below.
 Return Codes:  Action Codes:
1 = Quality C = Credit/Refund
2 = Wrong Color or Size R = Replacement
3 = Defective or Damaged E = Exchange for different item
4 = Incorrect Item Ordered M = Merchandise Credit
5 = Unsatisfactory Performance

Order / Invoice Number: Name:







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