Return Form

PARTS RETURN FORM

PRINT & FILL OUT THIS FORM & RETURN WITH PART(S)

YOUR ORDER ID WITH US:_____________________________

BILLING NAME ON ORDER:_____________________________

YOUR DAYTIME PHONE NUMBER:________________________

CIRCLE REASON FOR RETURN

WARRANTY REPLACEMENT (OR) ORDERED WRONG PART

IMPORTANT: NO RETURNS WITHOUT MODEL & SERIAL NUMBERS

APPLIANCE MODEL NUMBER:_____________________________________

APPLIANCE SERIAL NUMBER:____________________________________

REFUND INFO:

FOR PARTS NOT INSTALLED, ATTACHED OR TESTED IN APPLIANCE
IF RETURNED (1-30) DAYS FROM ORDER SHIP DATE:
(MINUS 30% FEES AND OUR S&H COST)
NO REFUNDS GIVEN AFTER 30 DAYS FROM ORDER SHIP DATE:
FOR WARRANTY REPLACEMENT:
(SEND $9.95 MONEY ORDER)

Pay to the order of: WaterFilterMart

COST FOR RESHIPPING WARRANTY PART TO YOU

OUR RETURN ADDRESS FOR RETURNS VIA POST OFFICE

D&D – WFM

P.O. BOX 490

FT. OGDEN, FL. 34267