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ATTN Retail Returns. The S1102 English or S1502 Spanish Retail Customer Receipt must be attached to this form. Mail to Customer Service 2801 Summit Ave. Plano TX 75074 Fax to Customer Service FAX 972 665-5224 Distributor Information please print Distributor Name Last First Initial Street Address City State ZIP Home phone Business Phone E-mail address Customer Information Customer Name Last First Initial Return Information Attach Sales Receipt Quantity Code Product Lot required Price Tax Total Reason for Return Purchase Date Refund Date Amount Refunded I have returned the unused portion of the product s to my AdvoCare Distributor along with the retail sales receipt. Retail Customer Product Return Form All Distributors must complete this form and submit it with any retail product return to AdvoCare International L*P. ATTN Retail Returns. The S1102 English or S1502 Spanish Retail Customer Receipt must be attached to this form* Mail to Customer Service 2801 Summit Ave. Plano TX 75074 Fax to Customer Service FAX 972 665-5224 Distributor Information please print Distributor Name Last First Initial Street Address City State ZIP Home phone Business Phone E-mail address Customer Information Customer Name Last First Initial Return Information Attach Sales Receipt Quantity Code Product Lot required Price Tax Total Reason for Return Purchase Date Refund Date Amount Refunded I have returned the unused portion of the product s to my AdvoCare Distributor along with the retail sales receipt. Date I certify that I have refunded the stated retail amount to the above Retail Customer and that I am returning the unused portion of the product with the Retail Receipt to AdvoCare within 30 days of the refund date. Retail Customer Product Return Form All Distributors must complete this form and submit it with any retail product return to AdvoCare International L*P. ATTN Retail Returns. The S1102 English or S1502 Spanish Retail Customer Receipt must be attached to this form* Mail to Customer Service 2801 Summit Ave. Plano TX 75074 Fax to Customer Service FAX 972 665-5224 Distributor Information please print Distributor Name Last First Initial Street Address City State ZIP Home phone Business Phone E-mail address Customer Information Customer Name Last First Initial Return Information Attach Sales Receipt Quantity Code Product Lot required Price Tax Total Reason for Return Purchase Date Refund Date Amount Refunded I have returned the unused portion of the product s to my AdvoCare Distributor along with the retail sales receipt. Date I certify that I have refunded the stated retail amount to the above Retail Customer and that I am returning the unused portion of the product with the Retail Receipt to AdvoCare within 30 days of the refund date.

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