Receptionist code
Name
Telephone number
E-mail
 The reason of
 
returned goods

Those who chose others need to write
a reason in detail.


* Returned-goods list *
Item No.
Description
Unit Price
Q'ty
1
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2
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3
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4
\
5
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6
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7
\
8
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9
\
10
\


Please write, if there are an opinion, comment, a question, etc.

In the case of returned goods, please write in and transmit to this form after reading notes about returned goods carefully.

A check screen does not appear.
I ask of you so that there may be no entry leak.

Please push a transmitting button, if a check finishes.

Although it is trouble when transmission using form cannot be performed, please do not leak a required matter, write it to E-mail and send to a lower address.

happydept@chibiru.com

Then, please push the button a browser "RETURN" .