RETURNS

Return Process

Completely fill in the information below. Carefully package your product in a box to protect it during shipment. Be sure to include this page with your shipment.

Order ID Number

Order ID Number:

Action Desired

[   ] Please Issue an Account Credit [   ] Please Replace [   ] Other (please explain)

Reason

[   ] Shipping Error [   ] Defective:

Items Returned

Type of DVD Player or DVD-ROM Drive Title Defect Location: Min   Frame #   Chapter Min   Frame #   Chapter

Type of Defect: [   ] Won’t Start                     [   ] Picture Skips [   ] Picture Freezes             [   ] Loss of Picture [   ] Cracking Audio Noise [   ] Other (please explain):

Comments

IMPORTANT: Form Must Be Filled Out Completely For Return To Be Processed