This form must be printed, signed and faxed to 631.361.5151.
NO Special Order Products are shipped until this form is completed.

Special Order Product Release Form
U R Busted, Inc.
86 W Main St
Smithtown, NY 11787
631.361.6439

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.

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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______________________________________________