Returns Form - Chaos.com

Customer Details

Name: .............................................
Company: ..........................................
Address: ..........................................
...................................................
Town/Suburb: ......................................
State: ......................... Postcode: ........
Country: ..........................................
Contact phone: (...) ..............................
Email address: ....................................

Product Details

Transaction number: ...............................
Order date: .......................................
Returned Item: ....................................
Reason for return: ................................
...................................................
...................................................

What would you like us to do?

   Exchange for another item?           Yes / No
   Exchange for a gift voucher?         Yes / No
   Refund your credit card?             Yes / No

Place the item to be returned in an envelope,
satchel or box suitable for courier or mail
transport along with this completed form. You can
send the package via Australia Post.

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