Return Request Form

To return an item please fill out this form completely and submit.
A Manta sales person will call you to confirm your request.

Original Order Information

Order Number:  
Order Date:
Ship To Name:  
Your Name:  
Your Email Address:  
Your Phone Number:  
Ship To Postal Code:  

Item to be Returned

Item Number:  
Item Description:

Reason for Return

Would You Like a Replacement?

Comments / Additional Information

Return Policy

  • Returned Items must be postmarked within 15 days of receipt..
  • All items must be returned in the original containers.