WHACKER TECHNOLOGIES
Please print, fill in your information and mail in with the product you are returning

Product Return Form

Name:	_________________________________________
Address:	_________________________________________ _________________________________________
City:	_________________________________________
State:	_________________________________________
Zip:	_________________________________________
Phone Number:	_________________________________________
E-mail Address:	_________________________________________
Invoice Number:	_________________________________________
Reason For Return:	_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________