Return Form

Please print out this form and fill out all fields.

1. Return Code: * To obtain this code, please send an email to Customer Service.
Code:	_____________________

2. Your Information: *
Name:	_____________________
Address:	________________________________________________________

3. Order Information *
Order Number:	_____________________
Item Number:	_____________________
Description:	________________________________________________________

4. Return Information*

Exchange
New Item Number:	_____________________
Description:	________________________________________________________
Comment:	________________________________________________________
	________________________________________________________

Refund	(Please indicate reason for return below)
	________________________________________________________
	________________________________________________________
	________________________________________________________

Return Address:

JC Store
73 West 47 Street
New York, NY 10036

Note:

Please don't forget to write your return code on the outside of the package
or we will not be able to accept your return. We recommend that you write the
return code on the front of the package with magic marker so that it is clearly visible.