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If you intend to return any item for any reason, you must complete this request. Failure to do so will void your right to return the item. If you have any questions, please contact us at 877-MYCINDA (1.877.692.4632).

Download as a PDF if you want to mail or fax your form instead.

Please enter your original order information:

Order Number:
Order Date:
Ship-To Name: *
Address: *
City: *
State: *
Zip Code: *
Your Name: *
Your Email: *
Your Day Phone:
* Required Field

Please provide information on the item you would like to return:
(One item per Return Request)

Item Number:
Item Description:

Choose one of the following reasons for your return:

I changed my mind.

I made an error when I placed the original order.

The item was damaged or defective but NOT due to shipping.

The item was damaged due to shipping.

I was shipped the wrong item. I ordered item #.

I received the wrong quantity of item #. I ordered a quantity of .

I am missing item #.

Other - please describe:

Do you want us to ship you another item?

No, I do not wish to receive another item at this time. Please refund my credit card.

The item you sent me was the one I ordered. However, it was damaged/defective NOT due to shipping. I would like a replacement.

The item you sent me was the one I ordered. However, it was damaged due to shipping. I would like a replacement.

The item you sent me was the one I ordered. However, I would like to exchange it for a different item. (Please specify below).

The item you sent me was NOT what I ordered. Please send the correct one. (Please specify below).

Please enter a few comments describing the reason for the return and the replacement you want sent (if any):

Acknowledgment of Return Policy:

I understand this return is subject to our "Returns & Exchanges Policy" in effect at the time I placed my order and as such:

  • This is a return request that must be evaluated and approved and I must receive a Return Authorization Number from you before I can return the item.
  • That an item cannot be returned after 30 days from the day I received it.
  • That I may be responsible for shipping, handling, restocking and other charges as a part of this return.
  • That items that have been damaged or modified due to my error cannot be accepted for return.
  • That I have read the Standard Retail Terms and Conditions located here.

Important! By submitting this form you acknowledge that you have read and understand the above Returns & Exchanges Policy!