If you want to return your item, please fill out this form and return to the following address:

iMEDiHelp, Cloverland, Loughborough Lane, Folkestone, Kent, CT18 8DG, United Kingdom

Hereby I/We return my/our order of the following goods(*)

-Ordered on (*)________________________________________________________________________________

/received on (*)________________________________________________________________________________

Order Number (*)______________________________________________________________________________

-Name of customer(*)__________________________________________________________________________

-Address of the customer(*)____________________________________________________________________

__________________________________________________________________________________________________

-Customer’s Signature(not necessary for electronic submission)_______________________________

Date: _____________________________________________________________________________________________