RETURN/EXCHANGE FORM
INSTRUCTIONS FOR RETURNS/EXCHANGE
  1. Sign and fill out this form completely. Incomplete/incorrect information will delay your return/exchange.
  2. Mail all packages to:
    Human Technologies Corporation
    Attn: Shipping Dept.
    2260 Dwyer Ave
    Utica, NY 13501
  3. Include this form inside your return/exchange.

RETURNS OR EXCHANGES
We want you to be a satisfied Brewery Ommegang customer. Letting us know the reason for your exchange or return will allow us to serve you better in the future. Please check the appropriate box below to let us know the reason for your exchange or return.
Size Quality Color Other

Customer Name_________________________________________________________________

Address________________________________________________________________________

Telephone #_______________________________ Invoice #_____________________________

Credit Card Type:_______________________________ Billing Zip Code:__________________

Credit Card #:_____________________________________

Expiration Date:_____________


RETURNS ONLY
RETURN ITEM #DESCRIPTIONQTYITEM PRICETOTAL
     
     
     
MERCHANDISE TOTAL 


EXCHANGES ONLY
RETURN ITEM #DESCRIPTIONQTYITEM PRICETOTALEXCHANGE INSTRUCTIONS
      
      
      
      

TERMS AND CONDITIONS FOR RETURNS
  1. Shipping Charges are non-refundable unless return is due to company error.
  2. All returns must be received within 30 days of the date you receive the package.
  3. No refunds on opened or washed merchandise.
  4. We are not responsible for lost or stolen returns/exchanges.
  5. Customer is responsible for return/exchange shipping charges.
  6. All refunds/additional charges must be made to a major credit card.

CUSTOMER SIGNATURE:________________________________________________________
Thank you for your support for Brewery Ommegang!!