Individual Coin Replacement Form

Fantasy Coin Missing/Damaged Items
How would you like to resolve the issue?

Refund for value of itemsExchange item for something elseReplace items with same ones if availableReceive special or no longer produced items as a replacement. (example: gold/silver plated coins in capsules)
Please list all items (and thier quantities) that you are requesting to be replaced. Simple lists are best.

Example:

FC1-5 Fire Gold pack of 10 x 1

Fire Gold Coin x 2

Roman Copper Coin x 1
Item List
Full Name*

First NameLast Name
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
Comments
Should be Empty:

Fantasy Coin Missing/Damaged Items