Electronic Cigarettes
e Liquid

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RMA

RMA - New Form

RMA - New Form


1.*Name and Surname:


2.Order Number:


3.Phone Number and Email


4.I am requesting a:
 Replacement
 Refund


5.What model electronic cigarette do you have?
 4081
 4082


6.What part is defective?
 Atomizer
 Battery (1 of 2)is faulty
 Battery (2 of 2)is faulty
 Charger is faulty
 Other Problem


7.Please tell us about the fault:


8.Please provide us with your postal address, please note if you supply us with a street address we will mail to your closest Post Office:


9.From 9 - 15 is for Office Use Only: Please submit form now.


10.Date Replacement Posted:


11.Replacement Tracking Number:


12.Date faulty product received:


13.Tracking Number of Return Envelope:


14.Additional Info:


15.Notes:

Total: R0.00  Total Qty: 0
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