{xx
     
   
   
 
 
Internet Order Number
TLC Invoice Number Dated: / /

Title
First Name
Surname
Company
Telephone
Mobile
E Mail

Faulty Damaged on Arrival Other
Product Code:
Qty:
Reason for Return / Details of Fault

Item Delivered in error
Ordered -
Product Code
:
Qty:
 
Delivered -
Product Code
:
Qty:
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