Product Returns – The Pinball Mod Co.

Your Name *(Required)

Last Name *(Required)

E-Mail Address *(Required)

Telephone *(Required)

Order ID *(Required)

Order Date *(Required)

Product Information

Product Name *(Required)

Product Code *(Required)

Quantity

Reason for Return *

Dead On Arrival

Faulty, please supply details

Order Error

Other, please supply details

Received Wrong Item

Product is opened *

Yes

No

Faulty or other details