Returns & Exchange form

Performance Industry

RETURN & EXCHANGE FORM

 

Please note: All exchanges relating to size / colour / print incur a $5 freight charge ($7 rural delivery). Please enclose this with your exchange.

 

DATE OF RETURN:

Name:

Address:

Town/City: Postcode:

Phone (day/night)

Email:

 

PLEASE CIRCLE ONE OF THE FOLLOWING OPTIONS:

 

1.Exchange for other item(s)      2.Reimburse via my original method of payment

 

STEP 2 - ITEM(S) RETURNED

Please list the item(s) you are returning and specify reason as appropriate.

 

ITEM 1:                           ITEM 2:

 

Colour:                             Colour:

Size:                                    Size:

Print:                                   Print:

Reason:                          Reason:

Total $

 

STEP 3 – EXCHANGE(S) REQUIRED (if appropriate)

 

Item Type                   Item Type:

Colour:                             Colour:

Size:                                    Size:

Print:                                   Print:

Total $

 

STEP 4 – RECONCILIATION

 

Refund (from step 2):                            $

Exchange/Purchase (from step 3):           $

Balance to pay/refund due:                     $

Freight charge:                                      $ 5.00

                                                    Total $

Method of payment (please circle): Cheque enclosed /Visa / Mastercard / Amex

 

Credit Card number:                                Expiry date:

Cardholder’s name:                                    Signature:

 

Please Return to:

Performance Industry 2010 Limited

16 Erskine Street

Queenstown 9304