Return Request Form

To return an item please fill out this form completely.


1. Please describe the reason you are returning your purchace:

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
  • Items must be returned within 10 days of receipt.
  • Returned items may be subject to a restocking fee.
  • All items must be in original condition and returned in ther original containers.
  • Any certificate of authenticity must be returned with the item.
  • All preimums, such as jewelry boxes, must be returned with the purchased item.
  • Should the returned item be damaged, Prairie House Gallery reserves the right to refuse the refund.