To return an item:
Print this form by right-clicking in this window with your mouse, then selecting "Print."
Complete the printed form and ship it with the item for a refund, changes or exchange.
Be sure to include information on the payment method used for this order.
If you paid with your checking account:
Please attach a deposit ticket or fill out the following information:
Name:
Address:
Home Number:
Work Number:
Full checking account number:
Financial Institution name:
If you paid with your credit card:
Please attach a deposit ticket or fill out the following information:
Name:
Address:
Home Number:
Work Number:
Credit Card Number:
Expiration Date:
Full checking account number:
Financial Institution name:
Reason for returning the item:
Do you want the item refunded, changes to item or exchanged? Please place an “X” beside the choice below.
__Refund:
__Changes:
Please indicate change needed to item:
__Exchange:
Item Returning:
New Item:
If there is a difference in price of the returned item and new item, please indicate payment method:
Full checking account number:
Credit Card Number:
Expiration Date:
A replacement or refund of the original purchase amount will be issued upon receipt of the item.
SHIPPING CHARGE FOR RETURNING PACKAGE MUST BE PAID BY CUSTOMER.
Please ship to:
Liberty Enterprises
Customer Service Department
2720 Arthur St.
Roseville, MN 55113