Please Print this page and fill it out, place it in box with returned items. First Column put the item Returned in the first row Item to replace that item in the 2nd row The sample below is Returning White Beverage Napkins for Golden Yellow Beverage Napkins. Request for Exchange - Haga's Dollar Store Name _____________________________ Order Number ____________________________ Address ______________________________ City _____________________ State ___ Zip _______________________________ Order Date ____________________________ Date returning: ____________________________ By signing this you agree to all terms on your Exchange. Must be signed for a Refund to be administered. Your Signature: _______________________________________________ R=Returned X=Exchange for Item # Description of item Quantity Price R [Sample] con-22200  White Beverage Napkins 1 1.99 X [Sample] con-22205  Golden Yellow Beverage Napkins 1 1.99 R         X          R          X          R          X          R         X         R         X         R         X         Reason for Exhanges   Must include Credit Card Information for shipping back and any additional Charges on this exchange. Name on Credit Card _________________________________________________ Billing Address _____________________________________________________ City _______________________________ State _______________ Zip _________ Phone number for if we have any questions about your return _____________________________ Credit Card Circle One Visa MasterCard Discover American Express Credit Card Number ________________________________________________ Credit Card Expiration Date Month _________________ Year __________________ 3 Digit Code on the Back of the Credit Card ____________________ Please Check here if you would rather us call you for Credit Card information when we recieve your exchange package. _____ Ship to Address if other than Billing Address Attention __________________________ Company Name ____________________ Address __________________________ Suite or apt #___________ City _______________________ State _____ Zip ____________________   For REFUNDS CLICK HERE EXCHANGE INFORMATION Please make sure you are giving us plenty of time to ship back your exchanges before your event. Please follow these steps to make a exchange: 1. Complete this form and enclose it with your package. 2. Package up the items you are returning complete with packing paper and cushing if required.. 3. Ship the package back to the address below. We do recommend you send back the package with a carrier that will provide you with a tracking number which are FEDEX, UPS, or USPS with delivery confirmation. By sending in for a Exchange please remember: 1. Shipping charges will apply for your second shipment. 2. Price differences will either be charged or refunded in the orginal form of payment.. 3. Exchanges are subject to stock availablity 5. Merchandise must be in original packaging. Those items that are not eligible for exchange that are returned will be dontated to a not for profit organization or shipped back with the exchange at your expense. What is not eligible for Exchanges? Send this form with your package to: Haga's Dollar Party Store Exchange 210 N. Market St. Hoopeston, IL. 60942 Our email is sales@partyoptions.net Toll Free Number: 1-800-260-1566 Hoopeston is located about 30 miles north of Danville Illinois, and about 120 miles South of Chicago, on Route # 1