RETURN AUTHORIZATION FORM

NAME: RA #
ADDRESS: DATE:
CITY: STATE: ZIP:
PHONE: FAX:
EMAIL:

INVOICE #

REFERENCE /DESCRIPTION OF THE ITEM(S)#

REASON FOR RETURN:

All approved RA items must be properly packed and shipped to the address below together
with this form. All returned items must have an RA approval number. Packages without an RA
number may be refused.

LAVISH BY TRICIA MILANEZE

11545 NW 75 MANOR
PARKLAND, FL 33076
EMAIL: returns@triciamilaneze.com
Phone: 954.227.9801 Fax: 954.227.9806