Returns and Exchange Form
Please print this form, complete it and return it with your item, otherwise we may not be able to process your return or exchange. We recommend that you make a copy for your own records. Click Here to Print This Form 1. Clearly print your information below. All fields must be completed.
First and Last Name ___________________________________________
Phone Number ___________________________________________
Order Number ___________________________________________
Item(s) Returning	Item	Quantity
	________________	________________
	________________	________________
	________________	________________
	________________	________________
Choose one: ( ) Return for refund ( ) Exchange for Replacement
Reason For The Return (choose one):
( ) No longer want item (e.g., bought new printer)
( ) Item did not work
( ) Item was damaged (e.g., leaking)
( ) Order was incomplete (missing an item)
( ) Received wrong item
( ) Other (please specify below)
Other (optional) _____________________________________________
2. Send the merchandise you are returning (with all of its original packaging) AND the completed form to the address shown below. It is very important that you include your Order Number in the mailing address. Your order number can be found in your Order Confirmation email and/or on your original packing slip. IF YOU DO NOT INCLUDE YOUR ORDER NUMBER IN THE DELIVERY ADDRESS, YOUR PACKAGE WILL BE REFUSED . Evoclix Imaging Attn: Returns Department – Order Number __________ 818 University Ave. Suite# 201 Gainesville, Florida 32601