NON-RECEIPT OF MERCHANDISE

Merchandise Not Received Statement

Please sign, date and then fax this statement to Linda at fax number 727-209-1302.

I, ____________________________(cardholder first and last name )did not receive the following merchandise:____________________________________(please describe merchandise and or give order number)
I did not receive the package the item was shipped in, tracking number follows:_________________________(please enter UPS/FEDEX tracking number)
I did have the opportunity to contact and check with my family members and /or co-workers who might have any knowledge of this shipment!
I am fully aware that the shipping company’s (UPS or FEDEX) website shows that this item was delivered to the address that I provided to Quality Cables USA when I placed my order online with one of its websites.
I am requesting a FULL REFUND of my funds as I am not in possession of these products nor am I aware of anyone receiving this shipment and or the merchandise, I.E.: “services have not been rendered”.
All shipments are insured and will be investigated by the Shipper/Local Authorities Etc.
I hereby declare this statement to be true.
Signature: ______________________________ Date: ____________

Please Note:
Any and All customers who initiates a Chargeback Procedure through their bank prior to providing this signed statement to QCUSA INC (Quality Cables USA Inc.) loses all right to privacy with QCUSA INC. and may be charged with FRAUD in accordance with local laws!