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CUSTOMER SERVICE REQUEST

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  DATE______________

  CUSTOMER____________________________________________________

  ADDRESS_____________________________________________________

  _____________________________PHONE___________________

  MERCHANDISE PROBLEMS:             DELIVERY PROBLEMS:

  ORDER NOT FILLED                  BAD ADDRESS

  DEFECTIVE MERCHANDISE             CUSTOMER NOT IN

  REPAIR PROBLEM                    DELAYED/LOST IN TRANSIT

  WRONG MERCHANDISE SOLD            DAMAGED IN TRANSIT

  AMOUNT CHARGED IN ERROR           MDSE. MISSING IN PACKAGE

  CREDIT/REFUND NOT ISSUED          OTHER___________________

  OTHER___________________          ________________________

  REMARKS:

  DISPOSITION:

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