Exchange Form

EXCHANGE FORM

Return to:  XELOS® Brand |1250 South 50 St | Tampa FL 33619

Name  _________________________________________________________

Order (Required)   __________________

Address (if different from the Shipping Address for the original order)

Street  ________________________________  City  ___________________________________

STATE  _______  ZIP  ___________

CIRCLE an OPTION

1.  Store Credit

2.  Exchange:

For SIZE Exchange, new size is __________ 

For LENGTH Exchange, new length is __________