To ____________________ (name of consumer agency)
Permission is hereby granted for _____________________ (name of consumer reporting agency) to discuss the information about me contained in their file in the presence of ____________________________ (name of third party).
_______________________
(Signature)
Dear ________________
Having received the merchandise you returned on ___________ (date) we are pleased to advise you that we have credited your account in the amount of _____________ (amount). If you would prefer that we mail you our check for the full amount of the refund, please advice us and we will be most happy to do so.
