Form

		Refund
		Exchange

If exchange, please specify color and size and if applicable a different style name or number with its price and a signature confirming you are authorizing us to charge any difference in price to your original credit card used.

Please check the following:

		Original receipt included
		still attached and item clearly not worn or damaged
		Original jewelry packaging included, if applicable

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Shopping Basket

1. Name

2. Email Address

3. Date

4. Item Size

5. Item Color

6. Item Style Name or Number

7. Shipping Address

8. Requesting Refund/Exchange

Requesting Refund/Exchange

9. Decision