Return Authorization Form

First Name *

Last Name *

Email *

Phone

Address *

Address 2

City *

State *

Zip *

Product and Order Information

Order Number *

Product Description

If the product is a Ladybug, please enter the serial number

Reason you are returning the product *

Please explain why you are returning the product. Please be as specific as possible. *

What do you want us to do?

Do have the original shiping box and all materials? Please note that expendable accessories are not refundable.

Yes

Please list what items from the original order are missing.

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If you are human, leave this field blank.