Return Form

Please read these instructions carefully before using the form below.

If you have received your order but did not sign or personally accept the package use the CANCEL RETURN FORM. If you have NOT received your order and wish to CANCEL your order please use the CANCEL RETURN FORM.

If you have signed for or accepted a package regardless if the package has been opened, you must use the return form inside the package. You do not need to fill out the form below. Please follow the return instructions on the Return Form included with your order.

Click Here for Shipping Agent contact information.
For other questions or concerns please use our General Help Forms.

Only fill out the form below if a return form was NOT included with your order.

Last Name
First Name
City	As it appears on your order invoice.
State	As it appears on your order invoice.
Zip	As it appears on your order invoice.
Contact Phone #	(optional)
Order #	Can be found on your packing slip or your email receipt confirmation.
E-mail
Comments (optional)
	Please contact me at the phone number listed above.
	Yes, please E-mail me with monthly AutoMedix specials and product updates.

We will E-mail you a confirmation notice and further instructions unless you have specified that we contact you by phone. If we attempt to call you when you are unavailable, we will leave a message for you to call us back "regarding issue number (your order number)" For your privacy, we will not identify ourselves or divulge any other information to anyone about your order. You issue number will be your order number. Please use your order number to reference your account.

Your satisfaction is important to us and we are working hard to ensure your positive experience.

RETURN FORM REQUEST