NAME:__________________________________ DATE:____________
PHONE NUMBER:________________________________
EMAIL:_________________________________________
ORIGINAL SHIPPING ADDRESS: (THE NAME AND ADDRESS THE ORDER WAS SHIPPED TO)
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
TRACKING NUMBER: (FOUND ON THE UPPER RIGHT HAND CORNER OF THE RECEIPT
OR INVOICE THAT CAME WITH THE ORDER)
_________________
REASON FOR RETURN:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
SALT OF THE EARTH WEIGHTED GEAR
ORDER RETURN FORM
Please print this form, fill it out and include it with your returned item.
Send to
Salt of the Earth Weighted Gear
414 RD D 1050
Henderson, NE 68371
We recommend that you ship return in a sturdy plastic bag in a FLAT RATE box,
available free at your local United States Post Office
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