Account

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Order History

First Name

Last Name

E-Mail

Telephone

Order ID

Order Date

Product Information

Product Name

Product Code

Quantity

Reason for Return

Mistake in making order

Other reason - please give details

Product change (additional information please to other details)

Product has defect

Wrong product

Product is opened

Yes No

Faulty or other details

I have read and agree to the The conditions of sale of Hawaii Express web store