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* Lane Labs Refund Form * |
Product(s) Bought # of bottles $ Amount
Benefin Shark Cartilage _____ _________
MGN-3 _____ _________
Skin Answer _____ _________
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Customer Name:_________________________________________
Address:_______________________________________________
Phone/ Email Address:__________________________________
Date Purchased (Approximate)___________________________
Total Cost:____________________________________________
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If you have purchased any of the above 3 Lane Labs products since September 22, 1999 you may be entitled to a full refund including shipping costs. You can fill out and forward this refund request form to the FDA District Office in New Jersey by mail:
US Food & Drug Administration
New Jersey District Office
(Attn. Lane Labs Refund)
10 Waterview Blvd.
Parsippany, NJ 07054
Or by Faxing it to: 973-526-6069 (FDA Office in Parsippany)
The FDA will forward these refund requests to the coordinator of this program in the U.S. District Court for the District of New Jersey.
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Enjoy Michelle's Flowers and Landscape Art
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Production and animation of Seagate's television commercials
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9484 Chesapeake Dr. Suite 802
San Diego, CA 92123
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