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                                                         Return Material Authorization

                                                                ** Please Print and Mail with your return request **




Customer Name: _________________________ Order date:________________ Todays date: ___________________

Street Address: _________________________________________________________ City __________________ State: ____________ Zip: ____________Customer Email: __________________________________

Customer Phone: _________________________________


Customer Reason for Return:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Print this form then sign and date it.


Customer agrees to be bound by ProCorra's return policy. 

You will be issued an RMA number and that number must be on the outside of your package.

Please remember you must return all bottles used or not.

There is a 10% restocking fee plus processing fees.

Customer is responsible for shipping.

ProCorra is not responsible for reimbursing original shipping costs.

ProCorra reserves the right to refuse supplements that have been damaged or altered.

Please allow 4-6 weeks for credit card reimbursement.

Please return to:

8275 S. Eastern Ave., Suite 200

Las Vegas, Nevada 89123

Customer Signature:_______________________________________________________


You must include this form inside of the return.


Thank you,


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