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Disorder Stomach/Intestinal Genetic Disorder Hearing Impaired Migraine Headaches Musculoskeletal Disorders Prosthesis Seizure Disorder Skin Disease Spina Bifida Urinary/Kidney Disease Visually Impaired Surgical History/Other Please List Please fully explain any answers checked above include severity and symptoms of any allergies Please list any medication s the student takes on a regular basis affect the student s school experience 504 Plan on file YES NO I authorize school personnel to...
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Start by writing your full name in the designated space at the top of the form.
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Indicate the reason for your return, such as a product exchange, refund request, or warranty claim.
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Include the original purchase details, such as the date of purchase, store name, and receipt or order number.
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Provide a clear description of the item(s) being returned, including any relevant serial numbers or product codes.
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Specify your preferred resolution, whether it is a replacement, refund, or store credit.
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Sign and date the form at the bottom to confirm your agreement with the return policy.
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Make a copy of the filled-out form for your records.
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Submit the completed form along with the returned item(s) to the designated return address or drop-off location.
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Please return with registration is needed by individuals or entities who have purchased a product or service and wish to initiate a return process.
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