( Please include this form inside the box with the exchange )
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| Order Number :_______________________________________________
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| Customer Name:_______________________________________________
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| Customer Address:_____________________________________________
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| City:___________________________State:________Zip:______________
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| Telephone Number w/Area Code:_________________________________
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| E mail Address:________________________________________________
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I am exchanging:
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Brand & Style:_________________________________
Size:_______ Width_______
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- - - - - - -Please Cut here and tape onto the outside of the box - - - - - - -
Send to:
Online Boot Store (JGear, Inc.)
Returns Department
1211 Rickmeyer Drive
Fond du Lac, WI 54937
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- - - - - - -Please Cut here and tape onto the outside of the box - - - - - - -
