Return Report

Please fill out the report carefully and legibly and send it with your return shipment.

RETURN SHIPMENT to:

GROOVES.LAND
Boxhagener Strasse 106
10245 Berlin
Germany

your details: date of today:

Name: _______________________________ order number: ________________

Street / No: _______________________________
Zip / City: _______________________________
Country: _______________________________

Please fill in the chart and indicate whether you wish to receive a replacement or a
refund. If you check "refund" please read our * note for bank details below.

item name / UPC code quantity return reason replacement refund

Reason for refund:

1. I dont like the item.
2. I have ordered a wrong item.
3. item arrived defective / damaged / missing parts.
4. I have received a wrong item.
5. other reason: ____________________________________________________________

Please describe with key points:

* note for refund:

If you habe paid with credit card or PayPal, we automatically refund to the appropriate
account. If you have paid via bank transfer (in advance), we need your bank details to
refund:

Account holder: _________________________

IBAN: _________________________
BIC: _________________________
Bank name: _________________________

THANK YOU VERY MUCH