1.

Customer Information (same as original order)

Name:
Address:
	(No P.O. Boxes)
City:
State:	Zip: Phone:
Email:

2.

Payment Method
Circle The Method Your Payment Was Made:

3.

Reason for Return (use back if necessary)

Signature: __________________________________________________

Date:______________

*All Return Requests Must Be Signed and Dated Before They Can Be Processed.*
*By Signing Here You Are Requesting a Refund and that you Fully Agree With The LipoRidPM.com Return Policy.

*Only un-opened bottles will be refunded.
*All returns will be charged shipping and a 20% restocking fee.

THE RMA# MUST BE VISIBLE ON THE OUTSIDE OF PACKAGE!

4.

Return All Received Items to:

LipoRidPM.com
Return Dept.
8437 Tuttle Ave, # 403
Sarasota, FL 34243

*Be sure to write the RMA# on the outside of the package or it will be refused.

Allow 3-4 weeks for processing.

*Refund credit valid for unopened bottles only.

After returning the bottle(s) allow 3-4 weeks for your refund to be processed. Customer is responsible for shipping the product back to our faciity as well as any cost associated with it.

LipoRidPM.com reserves the right to refuse or reject any returns and deny any and all refunds if we suspect fraudulent activity or for any other reason deemed appropriate by LipoRidPM.com. Refund offer only valid to continental U.S. residents. Return requests that do not completely comply with the LipoRidPM.com Return Policy will be rejected. Rejected items will be sent back at the customer's expense.

LipoRidPM.com is not responsible for items that may be lost, damaged, etc. or for any other reason why the package may not arrive to us in a timely manner. We recommend tracking the shipment.

Request an RMA#