RETURNS FORM

FULL NAME: _________________________________________________________________ EMAIL ADDRESS: _____________________________________________________________ ORDER NUMBER: ___________________________________________________ ADDRESS: ____________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________   REASON FOR RETURN (please circle) Unwanted gift Faulty Not as expected Arrived too late Other *COMMENTS: _________________________________________________ _____________________________________________________________ _____________________________________________________________ PLEASE CIRCLE: Replacement                      Refund PLEASE RETURN TO: DOSE of ROSE Unit 5a4 Millsborough House, Ipsley Street, Redditch, B98 7AL UK Please print this form and return within your parcel. We will be in contact regarding your return within 7 days.