J'S RETURN FORM

Customer Name: _________________________________

Customer Address: _______________________________

                            ________________________________

Customer Phone: (_____) _____ - _______

Customer E-mail: _________________________________

What is being returned: (quantity, brief description, and price)

example: 100   Country CDs   @ $1.50/each.

________   ___________________________ @ _______

________   ___________________________ @________

________   ___________________________ @ _______

How would you like your return processed? (circle one)

      Exchange                                     Company Credit            

If exchange, please specify exactly what you would like in exchange:

__________________________________________________

__________________________________________________

__________________________________________________

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Thank you.  We will begin processing your return as soon as we receive it.  If you do not hear from us within 14 business days, please contact us to ensure we received your package.