Personal Information

Name: Phone: Email Address:

Order Information

Your Order ID Date of receipt of order:
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Your Shipping Address:

Product Detail

Product Code Quantity Reason(s) for Return/Exchange

Choose your preferred Exchange option (applies only for damaged / soiled, incomplete and wrongly delivered orders to be verified by Revive fashion team upon the receipt of this form)

Details of the Required Product:(Please complete this section only if you want a different product than the one you ordered or a different size or color)

Product Code Quantity Size Color

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