LavaTech Info.Form

RIF (Return Information Form)
Name:		Date of Purchase:		Place of Purchase:
Shipping Address
Email Address
phone		Fax
Name Product		Quantity
Description
	Check for $14.95		Check for $19.95 Applicable on Models LT-338, LT-338i LT-340 & Countries outside, USA
Date	_______________________	Sign	__________________________
(Complete Form and mail to service center)