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Customer Service Request Form

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CUSTOMER SERVICE REQUEST

                                          DATE______________

CUSTOMER____________________________________________________

ADDRESS_____________________________________________________

       _____________________________PHONE___________________


MERCHANDISE PROBLEMS:             DELIVERY PROBLEMS:

ORDER NOT FILLED                  BAD ADDRESS

DEFECTIVE MERCHANDISE             CUSTOMER NOT IN

REPAIR PROBLEM                    DELAYED/LOST IN TRANSIT

WRONG MERCHANDISE SOLD            DAMAGED IN TRANSIT

AMOUNT CHARGED IN ERROR           MDSE. MISSING IN PACKAGE

CREDIT/REFUND NOT ISSUED          OTHER___________________

OTHER___________________          ________________________

REMARKS:


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