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seleradmin
2023-08-02T15:42:29+07:00
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Form Created Date:
(Required)
MM slash DD slash YYYY
Brand
(Required)
Stir Up
Cortina
Order Number:
(Required)
Your Purchased Item:
(Required)
Add
Remove
Please fill in your purchased item/s per broken item
Company/Outlet:
Return from (customer):
(Required)
Address
(Required)
Street Address
City
State / Province / Region
Email
(Required)
Phone
(Required)
Purchased From:
(Required)
Please Select
Online Marketplace
SELERA E-Commerce
Direct Sales/Event
Reason For Return/Complaint
Order Error:
Customer Ordered Wrong Item
Customer Received Wrong Item
Customer Received Expired Date Bottle
Leakage
Broken Seal
Pouch Tear Off
Bottle Cracked
Damaged in Transit
Methods of Return
(Required)
Please Select
Refund
Replacement
Credit on Account
Proof of Return/Refund
Drop files here or
Select files
Max. file size: 10 MB, Max. files: 4.
Please submit photo of the product/s maximum 4 photos
Consent
(Required)
I agree to SELERA Return Material Authorization Policy.
I acknowledge and will wait for feedback/approval from your customer support team. Once your Refunds Authorization Form is approved, we will provide instructions for returning/refunding the product.
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