Name _______________________________

Order Number ____________________  OR  PO Number ______________________

Where did you order from?

• BuyQball.com
• Amazon
• Reseller

Reason for Returning

• Couldn’t get it to work
• Ordered by mistake
• Other

If other please explain

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If you had trouble getting your Qball to work, we are confident that we can help you! Email us at support@peeq.us

Please send the return to:

Peeq Technologies Inc. 

PO Box 1749

Fuquay-Varina

NC. 27526

*All refunds will be given upon Peeq Technologies Inc’s receipt of Qball, all electronics, and this form.