osCommerceReturn and Exchange Form

Print,  fill out clearly and insert into package.
   Merchandise return for exchange is possible as long as it's one week of the invoice date.  We accept returns of defective products and not fitting clothes only . You are responsible for the cost of returning to us and re-shipping to you. Before sending back the merchandise please e-mail: info@lokisa.com to obtain a return authorization number.  Please write the authorization number right on the front of the package.

If you received an defective item , please also send us an image.

Name
_____________________________________________________________________________________
Street Address
____________________________________________________________________________________
City & State
_____________________________________________________________________________________
Postal Code:
_____________________________________________________________________________________
Country
____________________________________________________________________________________
Daytime Phone
_____________________________________________________________________________________
E-mail
_____________________________________________________________________________________
Invoice Number
_____________________________________________________________________________________
Reason for Return
_____________________________________________________________________________________
Return Number
_____________________________________________________________________________________
Return Address:

Lolita Kisama
2479 Ocala Ave
San Jose, CA 95122
USA
I want to: (Please circle)
Replace for the Same item:       YES or NO
Exchange for other item:       YES or NO                    IF yes _________________________
Other ______________________________________________________________________
______________________________________________________________________
______________________________________________________________________


Signature and Date:  X_____________________________________________________________