Print Name:
Billing Address:
Shipping Address:
Special Order Product Code:
Special Order Product Description
Purchase Price:
Tracking
Systems: System 2 Slap Up and ALL System 6 Kits are Special Orders
Special Order Products take 5-7 days to prepare and ship.
Special Order Products are Non-Refundable Non-Returnable Non-Exchangeable
(Absolutely No Exceptions).
Special Order Products will only be exchanged for defective units of the same
model
Special Order Products will NOT be shipped until this
form is completed, signed and returned to us.
Please list the Special Order Products you ordered and would like released for shipment.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
I, the undersigned,
authorize U R Busted, Inc. to Special Order above said Products, on my behalf
and I do fully understand that Special Order products are NOT returnable,
refundable or exchangeable for any reason other then to be replaced for defect
under warranty. I will for No Reason dispute payment to my Credit Card company
for this or these above products.
Sign_______________________________________Date__________________
Company______________________________________________