128 Concepts 
PO BOX 11236
Kings Norton
Birmingham
B30 1YA
United Kingdom

Web:   www.128concepts.com
Email:  sales@128concepts.com

YOUR ADDRESS	DELIVERY ADDRESS	
Title
First Name
Surname
Address

Post Code
Email	Title
First Name
Surname
Address

Post Code

PLEASE PRINT YOUR DETAILS CLEARLY	
N.B Include your email address, so we can inform you immediately that your returns have been received.	

Details of Returns / Items in the Returns List	
Tick the boxes for items you must return

[  ]  EZ Shopper E-Commerce Store CD-ROM
[  ]  Copy of Sales Invoice (sent with your order)
	
N.B Please ensure that both of these items are sent with your return.	

Please tick reason why you are returning the CD-ROM	
[  ]	CD-ROM was faulty or software corrupted so installation not possible. This could be an error when the CD-ROM was created for delivery by 128 Concepts.	
[  ]	CD-ROM was damaged and unable to insert into your computer; The CD-ROM is physically damaged when order was delivered.	

Your returns will be promptly handled by 128 Concepts as soon as we receive the correct returns items. Failure to send the items in the returns list will delay the exchange of your CD-ROM.  You are responsible for the postage costs. See Terms and Conditions of Trading in the documentation on the website www.128concepts.com for more details.  Return your completed form and items to the address above.