To insure an accurate and timely credit for items you are returning:
- Print this form.
- Complete this form, providing requested information.
- Send the items you are returning, this completed form and the packing slip to Highway Marine using the address above.
NAME: _________________________________ ORDER NO.___________________
Address:
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_________________________________
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_________________________________
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City___________________ State______ ZIP_____________ |
Credit Card Information:
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Type of Credit Card (e.g. Master Card, Visa) _____________________
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Credit Card Number ____________________________
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Expiration Date ___________________________ |
Please complete following information regarding the items returned.
| Item Number |
Qty. |
Price/each |
Price Total |
Reason for return |
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