RETURN AUTHORIZATION FORM
This Completed Form Must Accompany All Product Returns within 30 days from Date of Sale.
Your Information – Please Print Clearly.
Name:_____________________________________
Address: _____________________________________
City, State, Zip _____________________________________
Email Address: _____________________________________
Order # ____________________ (on your Receipt – 8 digit number)
Date of Purchase _____/____/____ (on Invoice - MUST be rec'd within 30 days from date of sale.)
Ebay Item Number #_____________________________ )
Product Name, Model, & Carrier ___________________________________________________
The Item is Defective [] Yes or [] No
Reason for Return (We will not process your request without a detailed description of the defect stated below.)
* Phone ESN numbers and stated defects will be verified prior to exchanging or refunding.
Return Options - Please choose ONLY ONE.
[ ] Exchange for identical item*
* Return S/H is at buyers expense. Replacement shipping back to you is at our expense.
OR
[ ] Refund* - We charge a 20% processing fee if you choose not to exchange your item.
* Refunds are issued to the account used for original payment
We apologize and will process your request within 24 business hours of receipt
Please send this form along with your return item to:
KM Electronics - Attn: Returns Dept
W284N4964 ROOSEVELTS QUAY
Pewaukee, WI 53072
KM Electronics reserves the right to charge up to a 20% processing fee when refunding a payment.
) 
