Return Merchandise Request FORM

Please Print, Fill out and Fax to 708-489-9853

Return Merchandise Request 

Name on Order: ______________________________________

Date Ordered:________________________________________

Order Number: _______________________________________

Which Product from the Order would you like to return?

Has the box been opened   Yes  /  No  ?

Reason for Return?

Best Phone #’s:

E-Mail:

Times you can be reached by phone:

By signing, I agree with, and will follow LinerWorld’s Return Policy and will give LinerWorld the right to ultimately accept or deny my request to return merchandise to the proper location.

Customer Signature: ________________________________