Returns Form

Home and Personal Care Product Return Form

 

To be eligible for return or exchange, a product must be returned to us postmarked within thirty (30) days of the date we shipped the product to you and comply with all the requirements below:

You must have a valid return authorization number (RA#) and have filled out this returns form to be eligible for return. To obtain an RA #, please call 541-207-3943. Please write your RA# clearly on the outside of your returns package. 

Unopened items in new condition may be exchanged / returned for store credit, exchange, or a refund.

Incorrect, damaged, or defective items may be exchanged for a replacement or returned for store credit or a refund.

Incorrect, damaged, or defective items must be reported to AGAE Technologies, LLC (33890 SE Eastgate Circle, Corvallis, Oregon 97333. Phone: 541 207-3943. Email:

customersupport@agaetech.com

; within 72 hours of receipt. Photos or other evidence of damage may be required.

Shipping charges for return of your item will be reimbursed by us only if your return or exchange is due to an error made by us – for example, if we shipped you an incorrect item. Refunds will be credited to the same payment method used for your original order or, at our sole discretion, another method.

Customer Information

  • Full Name: __________________________________________
  • Email Address: ______________________________________
  • Phone Number: ______________________________________
  • Shipping Address: ___________________________________

Order Information

  • Order Number: ______________________________________
  • Date of Purchase: __________________________________
  • Place of Purchase: ☐ Website ☐ Retail Store ☐ Online Marketplace
  • Store Name (if applicable): __________________________

Product Details

Product Name

Size / Volume

Quantity

Lot / Batch No. (if available)

Reason for Return
(Please check all that apply)

☐ Product damaged or leaking
☐ Incorrect item received
☐ Allergic reaction or sensitivity
☐ Strong or unpleasant odor
☐ Performance issue (did not clean as expected)
☐ Ingredient concern
☐ Changed mind / no longer needed
☐ Other (please specify): _________________________________

Condition of Product
☐ Unopened
☐ Lightly used
☐ Partially used
☐ Empty (quality issue only)

Description of Issue
(Please provide details to help us improve our products)

Requested Resolution
☐ Refund
☐ Replacement
☐ Store credit
☐ Other: _________________________________________________

Customer Declaration
I confirm that the information provided above is accurate to the best of my knowledge.

  • Customer Signature: _________________________________
  • Date: ______________________________________________

For Company Use Only

  • Return Authorized By: _________________________________
  • Date Received: _______________________________________
  • Resolution Processed: ☐ Refund ☐ Replacement ☐ Credit
  • Notes: _______________________________________________