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Returned Goods Request
Your Details
Date
Customer
Customer Code
Contact Person
Phone
Goods Return Details
Product Code
Quantity
Reason for return
Invoice
Customer P/Order
Lot No
Expiry
Customer Acknowledgement
Yes
No
Goods are in original condition and packaging
I understand that the Goods Return can be subject to a 15% restocking fee up to a maximum of $100. Restocking fee is mandatory for returned product that does not meet InterMed Medical Ltd's
Terms and Conditions
of sale.
Name
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