Hock's Pharmacy Logo
732 W. National Road   Vandalia, Ohio 45377
1-800-898-8570   Fax- 800-898-8572
Return Authorization Request Form
4 Easy Steps
1) Fill out the form below.
2) Print a copy and enclose with your Return.
3) Your Return Authorization Number is your order number followed by the letters RMA.
     Example:24123RMA
4) Press the send button to e-mail us a copy.
Items marked with an asterisk are required.

Return Authorization Number: 

First Name:*   Last Name:* 

Customer Number:  Order Number:   Order Date:

Your Email Address:*       Phone Number with area code:

Comments:

Returns Policy: READ CAREFULLY
For items damaged in shipping or if you were shipped the wrong item,
Please call our cutomer service department at 1-800-898-8570.

We offer a 100% money back guarantee for all unopened products. You are responsible for paying the shipping costs
back to Hocks.com. Please note, credit will only be issued after we have received the merchandise back and inspected the merchandise.
If it has been opened or used, then it will be destroyed and no credit will be issued! If the order is returned after 30 days from the invoice
date, and meets the return for credit criteria, there will be a 15% re-stocking fee.

Reasons for Return:

1) Item Number:  Item Name:  Quantity being returned:
Ordered Wrong Item*                                 Not what I wanted*  
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2) Item Number:  Item Name:  Quantity being returned:
Ordered Wrong Item                                 Not what I wanted  
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3) Item Number:  Item Name:  Quantity being returned:
Ordered Wrong Item                                 Not what I wanted  
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4) Item Number:  Item Name:  Quantity being returned:
Ordered Wrong Item                                 Not what I wanted  

Before pressing send, print a copy of this page to include with your return.
Have you printed a copy to send with your return?* Yes