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Take Back Program
Next Life Take Back Program
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Payment form
Thank You
Step 2
UPLOAD YOUR PROOF OF PURCHASE
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Acceptable images include store receipts, invoices and product photos.
Product Name
DRAG OR DROP YOUR FILES HERE
(Required)
Max. file size: 512 MB.
DRAG OR DROP YOUR FILES HERE
$9
Flat Rate Shipping
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
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Year
Year
2024
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Security Code
Cardholder Name
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Cardholder Name
Packing Slip
(Required)
Price:
Total