Fill out this return form, print it, and mail it in with your unused bottles. We will notify you via e-mail of your refund once we have received and processed the returned item. You can expect a refund in the same form of payment originally used for purchase within 14 to 21 business days of our receiving your return.

Order Information
Order #
Amount
Credit Card Information
Credit Card	Visa
	MasterCard
	Amex
	Discover
Card Number
Exp. Date	(mmyy)
Customer Billing Information
First and Last Name
Company
Address
City
State/Province
Zip Code
Country
Phone
Fax
E-Mail