RETURN FOR REFUND FORM

PRINT THIS FORM ON YOUR PRINTER

This form must be filled out and returned with your hearing aid
before we can make any credit back to your card.

This is not a form for hearing aid repair. For repairs go to the repair form.

Your name
_________________________________________________________________________________

Your phone #
__________________________________________________________________________________

Your Address ___________________________________________________________________________________

_____________________________________________________________________________________
Note! You have 21 days from the day the post office scanned your package for
delivery to get the hearing aid(s) back to us for any credit.
The aids must be in the original box and have all of the parts included.

What was the date of purchase? _________________________________________________

How was the purchase made? Credit Card or Check ________________________________

Why are you returning the Hearing Aid?

_____________________________________________________________________________

Are you going to order another type of hearing aid? _______________________________
Note! If you order another type of hearing aid at the same day of your return,
we will waive the 10% return fee on the first hearing aid order. This is a one time offer.

Mail To:

Heareasy Hearing Aids
23800 Sunnymead Blvd. Unit C
Moreno Valley, Ca. 92553
951-601-2227

Note! The US Post Office has free priority shipping boxes.