Return / Product Complaint Form Return / Product Complaint Form CUSTOMER INFORMATION Full Name / Clinic Name * Email * Telephone no.: * PRODUCT INFO Lot No.: * Examples of a lot nr. - S1287B1 | Kit lot nr. - V1239A1.2 Type the quantity of products to be returned * Qunatity format: 1 (numbers) CHOOSE PRODUCT TO BE RETURNED Retail products, Pure kits, Professional, Sample & bags * ReBoost (Hyaluronic Acid Booster) 15 ml. ReGlow (Face Serum) 30 ml. ReJuvenate (Youth Serum) 30 ml. ReOptimize (Eye Cream) 15 ml. ReEnforce (Face Cream) 50 ml. ReMoisturize (Night Cream) 50 ml. ReFence (Tinted Sunscreen SPF 30) 50 ml. ReVitalize (Body Cream) 200 ml ReSurface (Exfoliating Face Mask) 100 ml. ReBalance (Active Probiotic Mask) ReFresh (Cleansing Gel) 150 ml. ReFresh 2 ml (samples) ReFence 2 ml (samples) ReVitalize 2 ml (samples) ReGlow 2 ml + ReEnforce 2 ml (samples) ReJuvenate 2 ml + ReOptimize 2 ml (samples) ReBoost 2 ml + ReMoisturize 2 ml (samples) WHY ARE YOU RETURNING THIS PRODUCT? Return Reason * A product leakedThe container (bottle, jar, tube) is brokenThe product fill level or texture is not up to our standardsA pump dispenser is not workingA product listed on the packaging slip is missingOther Provide a detailed explanation on why you are returning the items in this message field. * Description of error/ damage: Upload Photos Upload/ Drag & Drop Photo Here Choose file Maximum upload size: 516MB If you are human, leave this field blank. Submit Request