Your Name:  ________________________________________________________________

 Your Address:  ______________________________________________________________

                         
                            _____________________________________________________________

 Your Phone Number:  ________________________________________________________

 Item Number (refunds cannot be processed without this) : ________________________________

 Brief Description:  __________________________________________________________

 Reason for return (i.e. Unsuitable, wrong size, wrong item sent etc) :  ________________________


___________________________________________________________________________ 

 Comments/Special Instructions:  _______________________________________________

___________________________________________________________________________

Please note, returns can take up to 30 days to process and delivery costs are not refundable. 

A 25% re-stocking fee will be deducted.

Blessed Be Me    *    Fort Worth, Texas    *    United  States  of  America