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    Return Guarantee Protection Claim Form: Excludes Tax, Shipping and Handling

    Uploaded by

    Jeff Li
    A refund will be sent to you within 30 days of receipt of all information. You must send the item to Buyers Advantage(r) before any claim will be paid. If payment is made under the Buyers Advantage return Guarantee, Buyers Advantage is entitled to recover such amounts from other parties or persons.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Return Guarantee Protection Claim Form: Excludes Tax, Shipping and Handling

    Uploaded by

    Jeff Li
    60 views1 page
    A refund will be sent to you within 30 days of receipt of all information. You must send the item to Buyers Advantage(r) before any claim will be paid. If payment is made under the Buyers Advantage return Guarantee, Buyers Advantage is entitled to recover such amounts from other parties or persons.

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    A refund will be sent to you within 30 days of receipt of all information. You must send the item to Buyers Advantage(r) before any claim will be paid. If payment is made under the Buyers Advantage return Guarantee, Buyers Advantage is entitled to recover such amounts from other parties or persons.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    60 views1 page

    Return Guarantee Protection Claim Form: Excludes Tax, Shipping and Handling

    Uploaded by

    Jeff Li
    A refund will be sent to you within 30 days of receipt of all information. You must send the item to Buyers Advantage(r) before any claim will be paid. If payment is made under the Buyers Advantage return Guarantee, Buyers Advantage is entitled to recover such amounts from other parties or persons.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Member #:________________________________________________ Return Guarantee Protection Claim Form

    Daytime Phone #: __________________________________________

    Member Name:____________________________________________
    Date:
    Member Address: __________________________________________

    ____________________________________________________
    How to file a claim:
    1. Please refer to your membership materials or visit www.buyersadvantage.com for terms and conditions and restrictions before
    making a Return Guarantee Protection claim.
    2. Within 90 days of purchase, return the item along with this completed Return Guarantee Protection Claim Form, original dated
    sales receipt, and the manufacturer’s written warranty (if applicable) to: Buyers Advantage, Return Department, 300 W.
    Schrock Road, Westerville, OH 43081-2873. Insuring the package is suggested.
    3. A refund check for the returned item will be sent directly to you within 30 days of receipt of all necessary information. You
    must send the item to Buyers Advantage® before any claim will be paid. You are responsible for any and all mailing costs,
    including insurance. We may request further documentation from you. The returned item becomes the property of Buyers
    Advantage and will not be returned to you. If payment is made under the Buyers Advantage Return Guarantee, Buyers
    Advantage is entitled to recover such amounts from other parties or persons. Any party or person to or for whom Buyers
    Advantage makes payment must transfer to Buyers Advantage his or her rights to recovery against any other party or person.
    You must do everything necessary to secure these rights and must do nothing that would jeopardize them, or these rights will be
    recovered from you.

    **REQUIRED INFORMATION**
    Product _____________________________ Original Purchase Date _______________________________________

    Manufacturer ________________________ Reason for Return ___________________________________________

    Model ______________________________ Original Purchase Price ______________________________________


    excludes tax, shipping and handling

    I understand that this claim form must be accurately completed and that all required documentation must be submitted before
    any claim under this service can be processed or paid. I authorize Claims Administration to obtain from me a statement if
    needed to process my claim. In addition, I understand that any claim may be denied if I fail to return this form within 90
    days of purchase. If my claim is not in accordance with the program’s provisions as outlined in my Buyers Advantage
    membership kit, I understand that my product can be returned to me at my expense within 5 days of receipt.

    Signature _____________________________ Date ___________________________________

    **PLEASE SUBMIT ALL OF THE FOLLOWING DOCUMENTATION FOR REVIEW**


    Please place documentation inside package
    ❑ Completed Return Guarantee Protection Claim Form

    ❑ Item (with manufacturer’s written warranty if applicable)

    ❑ Original purchase receipt

    ❑ If mail order purchase, include packing slip as proof-of-delivery

    **FOR OFFICE USE ONLY**


    Rebate Code _________________ Processing Date ___________________________

    Total $ Amount ______________ Join Date _________________________________

    Status Code __________________ YTD Total ________________________________

    Adjuster’s Initials _________________ Supervisor’s Initials _________________________

    Comments ____________________________________________________________________________
    © 2003, Trilegiant Corporation BGNRTNFM88
    Buyers Advantage Return Department ◆ 300 West Schrock Road ◆ Westerville, OH 43081-2873
    www.buyersadvantage.com

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