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Clulite Torches & Spotlights Australia: Returns Information Form
Please provide us with the information specified below and a copy of your order confirmation record and goods receipt. This information must accompany all returns.

Return Materials Authorisation number (RMA):.............................

Personal Details

Name:........................................................................

Company (if applicable):.............................................

Street Address:...........................................................

Town/Suburb:.............................................................

State:..................................      Postcode:...................

Country:.....................................................................

Email Address:...........................................................

Contact Phone:...........................................................
(include area code and if outside Australia the country code)

Best Time to Call (please circle)?       Morning      Afternoon      Evening

Product Details

Returned Item:..................................      Product Code#:................................

Receipt#:..........................................      Order Date:......................................

Reason for Return:.........................................................................................................

.....................................................................................................................................

.....................................................................................................................................

What would you like us to do? (Circle your choice below)

(a) Replace with another of the same product

(b) Refund by posting a cheque or international money order

Address: Clulite Torches & Spotlights Australia, 11 Alcheringa Lane, Bingie NSW 2537, Australia
Phone/Fax:02 4473 9246 
Email:info@clulite.com.au Website:http://www.clulite.com.au
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