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Adjustment Form
Full Name:
Consultant #:
Consultant Mailing Address:
Street Address:
City:
State:
Zip + 4:
County:
Phone:
E-mail:
Show Number:
Week of Show:
Date of Show:
Merchandise being returned:
Quantity:
Item Number:
Description:
Adjustment No.:
(The Adjustment Number will be supplied upon processing.)
Reason for Return:
Replacement
Error
Exchange
Describe in detail the reason for the return. (Items being returned must be of equal or greater value than exchanged items. A selection that is greater in value than the item being returned will cause your Associate account to be debited.
Exchange For: (Please list quantity, item number, and description customer desires.)
Quantity:
Item Number:
Description:
Merchandise Return Label.
List address where Merchandise Return Label is to be sent:
Full Name:
Street Address:
City:
State:
Zip + 4:
Number of Boxes:
Shortage:
List items shorted on order. Packing slip or packer number must accompany adjustment before adjustment will be processed. The Packer ID Number is the handwritten number located in the lower left-hand corner of your packing slip.
Packer/Slip Number:
Quantity:
Item Number:
Description:
Ship To (if different from above):
Full Name:
Street Address:
City:
State:
Zip + 4:
Please Note: This method of contacting the Home Office may not be the quickest way to resolve your concern. We recommend calling LOIS for immediate assistance.
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