Ruthie's Run Merchandise Return Form
Please return the merchandise and this form to:
Ruthie's Run
2415 Main Street
Lake Placid, NY 12946
Please indicate which you are requesting: refund or exchange
Shipping Information
Name: ___________________________________________________________
Address: ___________________________________________________________
City: ___________________________________________________________
State: _____________________________ Zipcode: ____________________
Telephone: ___________________________________________________________
Email: ___________________________________________________________
Billing Information
Name on Card: ___________________________________________________________
Address: ________________________________________________________________
(if different from shipping address) ____________________________________________
Card Type: Mastercard Visa American Express Discover
Card Number: _________________________________ Expiration: ____________
CVC Code: _____________
Reason for Return:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Ruthie's Run
2415 Main Street
Lake Placid, NY 12946
Please indicate which you are requesting: refund or exchange
Shipping Information
Name: ___________________________________________________________
Address: ___________________________________________________________
City: ___________________________________________________________
State: _____________________________ Zipcode: ____________________
Telephone: ___________________________________________________________
Email: ___________________________________________________________
Billing Information
Name on Card: ___________________________________________________________
Address: ________________________________________________________________
(if different from shipping address) ____________________________________________
Card Type: Mastercard Visa American Express Discover
Card Number: _________________________________ Expiration: ____________
CVC Code: _____________
Reason for Return:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________