NAME:__________________________________                              DATE:____________

PHONE NUMBER:________________________________

EMAIL:_________________________________________

ORIGINAL SHIPPING ADDRESS: (THE NAME AND ADDRESS THE ORDER WAS SHIPPED TO)

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_____________________________________________________

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TRACKING NUMBER: (FOUND ON THE UPPER RIGHT HAND CORNER OF THE RECEIPT
                                OR INVOICE THAT CAME WITH THE ORDER)

 _________________

REASON FOR RETURN:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

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SALT OF THE EARTH WEIGHTED GEAR
ORDER RETURN FORM
Please print this form, fill it out and include it along with a copy of your invoice or
receipt with your returned item.
Send to
Salt of the Earth Weighted Gear
1031 17th Street
Henderson,  NE  68371
We recommend that you ship return in a sturdy plastic bag in a FLAT RATE box,
available free at your local United States Post Office