Return Date: ________ - _________ - 2006
Buyer's
Name: ____________________ ______________________________
Company: _____________________________________________ (if applicable)
Address: _____________ _________________________________________
City: _________________________ State: ________
Zip Code: ________________________
Country: ________________________
Contact Phone: (_______) _________________________
Email Address: __________________@________________________________
Order Number: _______________ Order Date: ________ - _______ - 2006
Returned Item: ___________________________________________________
Reason for Return (Circle one): Wrong Size - Wrong Color - Wrong Item
Other: __________________________________________________________
What would you like us to do? (Circle one)
Exchange for another item? Yes / No If Yes, what item? _____________
Refund your credit card?
Yes / No
Credit Card # Used for purchase: ________________________
Exp.________
Place the item to be returned in an envelope
or box suitable for mailing,
along with this completed form and send to :
Shoreline Surf
Shop Shoreline
use only # ____________
Attn: Returns
125 Beach Street
Santa Cruz, CA 95060