1. 1) PERSONAL INFORMATION
Name: ___________________________
Address:______________________________
Apt/Ste No.:___________________
City:______________________________
State:______________________________
Zip:______________________________
Account Number:*________________________
Order Number:*____________________________
Total Order Price:*_________________________
*Please call HSN Customer Service at 1.800.284.3900 from 8 am–1 am ET to obtain
this information. Please make sure you get the Return Address as well.
2) RETURN REASON:
Please provide reason by circling the appropriate return code number in the list
below:
Return Reason Return Code #
Didn't fit 01
Not as expected 02
Broken/Doesn't Work 03
Wrong Item 07
Workmanship 13
Color not as shown 21
Difficult to Assemble or Use 28
Inadequate Packaging 36
Additional Comments/Other Reason:
3) MERCHANDISE CREDIT – KA$H (OPTIONAL):
If you would like us to credit your HSN account rather than refund your original form of payment,
please check and sign below.
I would like to receive merchandise credit for this return
__________________________ (your signature)