<%@ Register TagPrefix="uc1" TagName="CustomerServiceMenu" Src="controls/CustomerServiceMenu.ascx" %> <%@ Page Language="vb" AutoEventWireup="false" Codebehind="ReturnForm.aspx.vb" Inherits="ReturnForm"%> <%@ Register TagPrefix="cc1" Namespace="BVSoftware.WebControls" Assembly="BVSoftware.WebControls.Library1" %> <%@ Register tagprefix="BVCommerce" tagname="Footer" src="Footer.ascx"%> <%@ Register tagprefix="BVCommerce" tagname="Header" src="Header.ascx"%> <%=PageTitle%> <%' 2003 BV Software LLC %>

Return Request Form

Original Order Information

Order Number: *
Order Date:
Ship To Name: *
Your Name: *
Your Email Address: *
Your Phone Number: *
Ship To Postal Code: *

Item to be Returned

Item Number: *
Item Description:

Reason for Return

I changed my mind; didn't like I ordered the wrong item The item was damaged but NOT due to shipping The item was damaged during shipping I received the wrong item; incorrect item was shipped Other... Please describe in the comment box below

Would You Like a Replacement?

Yes No

Comments / Additional Information

Return Policy