TIUME DNA Bracelets and All Other Items Ordered Here
Service Request Form
1. Print this form, complete entire form, and make a copy for your records.
2. Place Repair Request Form and merchandise in a secure mailing box or bubble envelope, making
sure the your bracelet is securely protected.
3. Ship via U. S. Mail or any transit service, being sure to insure the merchandise to your satisfaction.
Date_________________________
City _________________________ State _________ Zip Code________
Phone Number _______________
Please provide the name of the original purchaser, if not yourself. ______________
Please provide approximate date of purchase, if available ________________________
Please be as specific as possible so we can ensure your bracelet is repaired properly.
______________________________________________
Carbarra Designs, LLC
P. O. Box 251303
West Bloomfield, 48325
