Return Request Form

To return an item please fill out this form completely. Your order number is the invoice number, which is located in the uppper right hand of the receipt you received with your order.

Original Order Information

Order Number:

Order Date:

Ship To Name:

Your Name:

Your Email Address:

Your Phone Number:

Ship To Postal Code:

Item to be Returned

Item Number:

Item Description:

Reason for Return

I ordered the wrong item

The item was damaged but NOT due to shipping

The item was damaged during shipping

I received the wrong item; incorrect item was shipped

Other... Please describe in the comment box below

Would You Like a Replacement?

Yes

Comments / Additional Information

Return Policy

Returned items may be subject to a restocking fee.
This form is not a guarantee of an authorized return. A Factory Effex sales representative will contact you upon receipt and approval of this return.

I have Read and Acknowledge this Return Policy