Equipment Exchange / Store Credit Request Form
ALL THE INFORMATION BELOW MUST BE FILLED OUT COMPLETELY AND FAXED TO (714) 333-1103 ALONG WITH A CLEAR COPY OF THE FRONT AND BACK OF THE CREDIT CARD USED WHEN YOUR PURCHASE WAS ORIGINALY MADE. THIS FORM AND THE CREDIT CARD COPY MUST BE RECEIVED BEFORE AN AUTHORIZATION # IS ISSUED.
A COPY OF THE FRONT AND BACK OF YOURCREDIT CARD MUST ACCOMPANY THIS AGREEMENT. FOR BEST COPY RESULTS USE THE 200% SETTING ON YOUR COPY/FAXMACHINE.
Order # -
RETURN / EXCHANGE POLICY:
Electric Money Inc. does not offer returns or refunds on any purchases. Electric Money Inc. will extend an exchange / store credit for 30 days from the original date of purchase less a 20% restocking fee, original shipping and $29.95 handling / material fee.
By signing below or by shipping your equipment to Electric Money Inc. constitutes your knowledge and agreement to the terms above.
Signature :________________________________________Date:_______________
Print Name:_______________________________________Date :_______________
Card holder agrees to pay issuer the amount above pursuant to the cardholder agreement.
By signing above I have read and agree to the terms and conditions below regarding returns, refunds and repair requests as set by Electric Money.
***** ABOVE SIGNATURE MUST BE FROM THE ORIGINAL CARD HOLDER *****
ONCE YOUR ORDER HAS BEEN RECEIVED AND EVALUATED A STORE CREDIT WILL BE ISSUED TO YOUR ACCOUNT LESS THE 20% RESTOCKING FEE, ORIGINAL SHIPPING PLUS THE $29.95 HANDLING MATERIAL FEE. |
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