Guarantee Form Your Full Name Address City State —Please choose an option—AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code Your email Phone What is your preferred method of contact? PhoneEmailMail What product did you purchase? What is the lot code on your product? Why are you unsatisfied with the product (e.g., damaged upon receipt, expired)? Where did you purchase the product? Brick-and-mortar locationOnline (an Advantice Health DTC website)Online - other What's the store name and location? What's the name of the website? Do you have a receipt or other proof of purchase? YesNo Please upload your receipt Would you like a refund or a replacement product? RefundReplacement Product Domeboro*** December 16, 2021
