Updated return form 2014 - SureGrip Footwear

RETURN and EXCHANGE FORM
Please complete this form and enclose with returned or exchanged product. Products returned with incomplete information may not
be processed properly.
A return UPS label is included with your order. If you did not receive one, please call 1-877-566-7547 for a replacement. Please write
down the UPS Tracking Number (found on the label) for your records.
CONTACT INFORMATION
SALES ORDER #___________
PURCHASE DATE __________
EMPLOYEE NAME_______________________________________EMPLOYEE ID (for payroll deduction) ____________
COMPANY _________________________________________ UNIT Number ______________________
STORE ADDRESS _________________________________ CITY __________________STATE _____ ZIP ________
WORK PHONE (____) _____-_______ HOME PHONE (____) _____-_______ CELL PHONE (____) _____-_______
EMAIL _________________________________________
SHOE STYLE RETURNED_________________
SIZE ___________
SELECT ONE:
RETURN for REFUND
WIDTH________
EXCHANGE
SHOES PURCHASED BY:
Company payroll deduction
Credit Card
Check/MO
EXCHANGE SHOE FOR:
STYLE #________________ SIZE _____ WIDTH ______
REASON FOR RETURN
Did Not Like
Wrong Size
Defective
Other ___________
If the exchange shoe is of the same style [only size change] then it will
be considered an even exchange. If shoes are exchanged for a different
style, a refund will be issued and a new order created. If a credit card
was used for payment, the customer will be contacted for new payment
information.
(*Shipping and Handling charges not refunded, prepaid shipping
label provided)
En Espanol
INFORMACION DE CONTACTO
NOMBRE DE EMPLEADO_________________________________NUMERO DE EMPLEADO _____________________
COMPANIA _________________________________________ UNIDAD _________________
DIRECCION DE LA COMPANIA ________________ CIUDAD ___________ESTADO____CODIGO POSTAL _______
TELEFONO DEL TRABAJO (____) _____-_______ TELEFONO CELULAR (____) _____-_______
EMAIL_________________________________________
SELECCIONE UNO:
CAMBIE POR OTRO TAMANO/MODELO
VUELVA PARA REEMBOLSO
PRODUCTO QUE SE VA REGRESAR:
MODELO#________ TAMANO___ ANCHO___
ZAPATOS COMPRADOS POR:
Deduccion de nomina
Tarjeta de Credito
Cheque/G.P.
PRODUCTO PARA CAMBIARSE
Fecha de compra __________ Factura#_________
CAMBIO PARA:
MODELO #___________
TAMANO____ ANCHO_______
RAZON DE LA VUELTA – POR FAVOR MARQUE UNA O MAS
No le gusto
Tamano incorrecto
Defectivo
Otra _______________
MODELO #__________TAMANO____
ANCHO ________
(Shoes can only be exchanged for product of
equal or lesser value. If a higher priced product is
selected, a refund will be issued.)
(*Costos de envio no se va reembolsa)
Questions? Contact us at 877-566-7547 or customer_service@suregripfootwear.com