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Returned Goods Form

Please Make Copies Of This Original Form To Complete & Send With Each Return

In order that we may handle your returned merchandise more quickly & efficiently, please complete & return this form with ALL merchandise you are returning to any of our distributors. Failure to enclose this form with ALL returns will delay processing of credit until received.

Credit will not be issued & a 25% restocking charge will automatically be applied to all goods returned without this form.

Date_________________________________

Name___________________________________

Address_________________________________

________________________________________

Amount Of Return$________________________

Reason For Return________________________

________________________________________

Signature:

________________________________________

Distributor/Salesperson:

________________________________________

Date: ___________________________________

Amount Refunded $____________________

Method-Refund: _______________________

Higher Integrity Products, 3665 E Bay Dr #204-133, Largo, FL 33771

Returned Goods Form

Please Make Copies Of This Original Form To Complete & Send With Each Return

Credit will not be issued & a 25% restocking charge will automatically be applied to all goods returned without this form.

Date_________________________________

Amount Refunded $____________________

Method-Refund: _______________________

Higher Integrity Products, 3665 E Bay Dr #204-133, Largo, FL 33771

1-877-262-0229