PRODUCT RETURN REQUEST

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INSTRUCTIONS :

Please fill this form. Your inquiry will be analyzed by our team and an answer will be provided in the next 3 workings days. If necessary, a RMA# (Returned Material Authorization) will be sent back to you. Do not ship any product back to us unless you have this number. Please, be informed that claims related to shipments and orders must be reported within 30 days of invoice date. RMA numbers will be valid for a period not to exceed 30 days from the date of issuance. Merchandise returned after the expiration of the RMA number will not be accepted for credit.

1. Customer information Customer info
2. Product information Products
3. Attachments Attachments

| Customer information

Last name *

First name *

Company/clinic

E-mail *

Phone number *

Address *

Postal code *

City *

State/Province

Country *

| Product information

Supplier name * :

Invoice number * :

Invoice date * :

Please specify at least one product to return.

In cases A, B or G, you will be responsible for shipping the products back to us. In other cases, we will let you know we will let you know who is responsible for shipping the products back and how to proceed. In case G, certain conditions apply, more detail online Money-back guarantee

Product reference	Product description	Batch number	Reason of return

| Attachments

| Free expression

Please write in any detail you wish to share with us about your inquiry.

Form version: 3.6.2