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FREE SPIRIT JEANS FREE JEAN GIVEAWAY
REFUND REQUEST FORM
form #10/14/10
If you are previous Free Jean
Giveaway customer and you did not receive your order or replacement. There is no
need to panic :). We have changed our policy on refunds for shipping and handling
for the Free Jean Giveaway . Just print this form. Fill it out. Attach a copy of
your original receipt, picture id and mail it to us. YOU MUST SEND THE FORM ALONG WITH RECEIPT
AND ID (so that you have proof of
your refund request). This agreement is between Free Spirit Jeans and
_______________________________
("Customer").
Order number
#____________________________________________
Full Name
_____________________________________________
Original Address at time of
order
Street________________________________________
City_________________________________________
State________________________________________
Zip__________________________________________
Current Address
Street________________________________________
City_________________________________________
State________________________________________
Zip__________________________________________
Phone(_____)_________________________________
Note:
When you placed an order for free jeans or shirts,
the fee you paid was for shipping and
handling only. If you are requesting a refund your
request must include your order number. You must must send this form,
original receipt and picture id .
You may send as email attachment.
Important:
Your request must meet all of the requirements stated. Read the following
statement. Sign your name and enter the date. In addition to the
requirements, If this request is not signed and dated, it will be
returned to you. Delay in processing may result or may not be accepted.
I have read and understood the
Terms and Conditions and
Privacy Policy of this
website. I authorize Free Spirit Jeans to process a refund for shipping and
handling of the Free Jeans I ordered, as requested above. I certify that I
understand that, it is not a Policy of Free Spirit Jeans to issue a refund for
shipping and handling but Free spirit Jeans is making an exception. In
consideration for the refund set forth above and elsewhere, consideration which
customer hereby acknowledges is in addition to anything of value to which he/she
has already received (i.e. you received free gift), customer releases and
discharges Free Spirit Jeans, its predecessors, successors, subsidiaries,
affiliates, divisions, managers, employees, agents, officers, trustees,
directors, related entities, and all others acting on its behalf, from all
contracts, claims, liabilities, demands, and causes of action of any nature,
know or unknown, fixed or contingent, which Customer may have or claim to have
against Free Spirit Jeans Customer does hereby agree not to file or have
filed on his/her behalf a lawsuit to assert any such claims. By making this
agreement Free Spirit Jeans does not directly or indirectly, or by implication,
admit any violation of any law, statue, regulation or ordinance in connection
with Customer's backordered item. This agreement shall be performed,
interpreted and enforced according to the laws of the Commonwealth of
Pennsylvania. Any action arising out of or relating to any of the
provisions of this agreement may only be handled by the courts of or located in
the Commonwealth of Pennsylvania. By entering into this agreement Customer
knowingly and voluntarily waives rights he may have under any and all laws which
provide legal restriction of Free Spirit Jeans treatment of customer during the
time they
conducted business with Free Spirit Jeans. Customer is not being asked to, and
does not release, any claim which in nonwaivable as matter of law.
__________________________________________
Customer Signature
__________________________________________
Print Name and order number
__________________________________________
Date
*Generally
speaking, a notary public [...] may be described as an officer
of the law [...] whose public office and duty it is to draw,
attest or certify under his official seal deeds and other
documents, including wills or other testamentary documents,
conveyances of real and personal property and powers of
attorney; to authenticate such documents under his signature and
official seal in such a manner as to render them acceptable, as
proof of the matters attested by him, to the judicial or other
public authorities in the country where they are to be used,
whether by means of issuing a notarial certificate as to the due
execution of such documents or by drawing them in the form of
public instruments; to keep a protocol containing originals of
all instruments which he makes in the public form and to issue
authentic copies of such instruments; to administer oaths and
declarations for use in proceedings [...] to note or certify
transactions relating to negotiable instruments, and to draw up
protests or other formal papers relating to occurrences on the
voyages of ships and their navigation as well as the carriage of
cargo in ships." [Footnotes omitted.]
A notary, in almost all common
law jurisdictions, is a qualified, experienced practitioner
trained in the drafting and execution of legal documents. (A
notable exception being 48 of the 50 U.S. States and some parts
of Canada.) Traditionally, notaries recorded matters of judicial
importance as well as private transactions or events where an
officially authenticated record or a document drawn up with
professional skill or knowledge was required. Specifically, the
functions of notaries include the preparation of certain types
of documents (including international contracts, deeds, wills
and powers of attorney) and certification of their due
execution, administering of oaths, witnessing affidavits and
statutory declarations, certification of copy documents, noting
and protesting of bills of exchange and the preparation of
ships' protests.
Significant weight attaches to
documents certified by notaries. Documents certified by notaries
are sealed with the notary's seal or stamp and are recorded by
the notary in a register (also called a "protocol") maintained
and permanently kept by him or her. These are known as "notarial
acts". In countries subscribing to the Hague Convention
Abolishing the Requirement for Legalization for Foreign Public
Documents only one further act of certification is required,
known as an apostile) and is issued by a government department
(usually the Foreign Affairs Department or similar). For other
countries an "authentication" or "legalization" must be issued
by the Foreign Affairs Ministry of the country from which the
document is being sent or the Embassy, Consulate-General or High
Commission of the country to which it is being sent
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USA