RETURN FORM

You have 7 days for items fulfilled by Marketplace Merchants and 14 days for Retail Date: January 3, 2017
items fulfilled by Lazada to return from delivery date
Tracking No.: H-ADR-A207
Kindly fill it out the form and bring the form together with the package to any LBC branch.
Please indicate that the return is for "Lazada".
Order No.: 357745531
Please ensure that the returns are properly packed. LBC may refuse if the packaging does not
meet their requirements. For detailed Lazada Return Policy, please visit
http://www.lazada.com.ph/returns/

FROM : TO :
Name: Gieryl N.
Villanueva LAZADA PHILIPPINES
Address: 2906-
N Tambunting Block 3 Lot 12 Honorable Cruz St.
St. Sta. Cruz,
Manila Soldiers Hills Subd. Brgy Putatan
Muntinlupa City
Contact No:
09496354516

# of Days Reason Details of

QTY Item SKU Description to Return Code Return Preference
_✔_ Replace
Not
charging
properly.
LED design
is confusing.
4-5 hours
charging is
not true.
Charged it
for a day
and only
reached 2
JMK J305 10000 mAh bars instead
Powerbank (Yellow/Black) 5 of 4 bars. __ Refund
( ) Voucher
1 ( ) Reimbursement

__ Replace
__ Refund
( ) Voucher
( ) Reimbursement

__ Replace
__ Refund
( ) Voucher
( ) Reimbursement

__ Replace
__ Refund
( ) Voucher
( ) Reimbursement

__ Replace
__ Refund
( ) Voucher
( ) Reimbursement

__ Replace
__ Refund
( ) Voucher
( ) Reimbursement

__ Replace
__ Refund
( ) Voucher
( ) Reimbursement

__ Replace
__ Refund
( ) Voucher
( ) Reimbursement
 Reason Codes Reimbursement Details
(1). Damaged (2). Defective Account Owner :

(3). Wrong item (4). Missing items/parts Account No.:

(5). Product not as advertised (6). Does not fit Bank Name:

(7). Website error (information/image/price) (8). Others (Please specify) Bank Location:

. ________________________

Signature: