PROBLEMS WITH YOUR DVD? LET US MAKE IT RIGHT! PLEASE FILL OUT THE FOLLOWING FORM & WE'LL REMEDY THE PROBLEM.
	CUSTOMER NAME:
	EMAIL:
	PHONE:
	PLACE PURCHASED:
	DATE PURCHASED:
	ORDER NUMBER:
	QUANTITY RETURNING:
	REASON FOR RETURN:	--Select One-- Defective Does Not Play Damaged on Arrival(DOA) Other
	PLEASE SEND A:	Refund Repair/Replace
	Please describe the problem in as much detail as possible:
	Address:
	City:
	State:
	Zip: