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Immunotec Boosts Sales
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Immunotec Boosts Sales

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  • 1. IRL-4 CUSTOMER REFUND APPLICATION 292 Adrien-Patenaude Order desk: (888) 462-3397 (M-F 8:30am - 6:00pm ET) Vaudreuil-Dorion Fax: (877) 424-5050 24 hrs/day, 7 days a week Quebec, Canada Customer Service: (888) 917-7779 (M-F 8:30am - 5:30pm ET) J7V 5V5 Internet address: www.immunotec.comPlease use a pen and print clearly in all the spaces provided.ENTREPRENEUR INFORMATION Portfolio Number:NAME: Last First MiddleAddress:City: State / Province: Zip / Postal code: ( ) Fax: ( ) Independent Entrepreneur’s SignatureRETAIL CUSTOMER INFORMATIONNAME: Last First MiddleAddress:City: State / Province: Zip / Postal code: ( ) Fax: ( ) Retail Customer’s SignatureProduct Qty Date sold Lot # / Exp. Date CUSTOMER REFUND WARRANTY CONDITIONS AND REQUIREMENTS1. The Customer Refund Application form is used for Immunotec products sold by an Immunotec Independent Entrepreneur to a Retail Customer.2. Immunotec Research Ltd. must receive the Customer Refund Application form within thirty (30) days of the Entrepreneur providing the cash refund to the Retail Customer. Replacements will be shipped to the Entrepreneur’s address on file.3. All information on this form must be accurate and complete. Incomplete forms will be returned to the Immunotec Independent Entrepreneur.4. All Customer Refund Application forms must be accompanied by the portion of the package displaying the lot number(s) and the Independent Entrepreneur’s copy of the Sales Slip. Immunotec Research Ltd. reserves the right to refuse any Customer Refund Application requests or forms for failure to meet any one of the requirements stated above. Forward Customer Refund Application Form to: Immunotec Research Ltd. Customer Refund Warranty Department 292 Adrien-Patenaude, Vaudreuil-Dorion (Quebec) Canada J7V 5V5Printed in Canada

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