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www.sesura.

com

RETURN FORM
Date :
To return a product, please complete this form and SEND TO THE ADDRESS BELOW.
All returned items not accompanied by a completed paper copy of this Return Form will be automatically declined and sent back.
The return item must be with all accessories intact (including tag).
FROM

TO (Return Address)

Name :

SESURA

Mobile :

22 Rosas St. Valle Verde 2, Pasig City, Metro Manila

Address:

Details of Return
Product Name

Order No.

Qty

Reason for Return

Remark
Replace
Refund
Replace
Refund
Replace
Refund
Replace
Refund

Refund Form
Original payment method :
Paypal / Credit Card : Refund via Paypal
Other methods(BDO/COD) : Refund via bank deposit. Please make sure you indicate the complete bank details as required below.
Bank Name :
Bank Branch/Location :
Type of Account :
Account Name :
Savings
Account No. :
Checking
*Please save your return shipping invoice. Kindly allow approximately 30 business days for us to process your refund. Thank you.

Signature over Printed Name

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