Please submit only one form per customer. If you have multiple bottles, you are required to upload one clear photograph displaying all bottles together in a single frame, with the lot number fully visible and easily readable. All information must be completed accurately to ensure proper verification. This process protects the integrity of the review. Duplicate submissions will be denied.

Submitting this form does not guarantee approval. Eligibility for any remedy is determined only after full verification.

Full Name *

Email Address *

Lot Number *

Clear picture of Lot Number Upload Photo *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

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A clear photo of the bottom of your bottle showing the lot number is required. Claims without a matching lot number cannot be processed

Proof of Purchase *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

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Upload a clear photo showing the order ID

Do you still have the bottle in your possession? *

Claims without the product may not qualify for remedy

Phone Number *

Order Number *

Order Date *

Order date must match for verification

Where Purchased *

Bottle Condition *

Opened, empty, or discarded bottles may not qualify for remedy

How Much Product Is Left *

Would you be willing to return the bottle if requested? *

subscribe and save *

One Claim Per customer *

Duplicate claims will be rejected

Multiple bottle *

If choose yes, Should upload below image

Single‑Frame All Bottles & Lot Number Photo *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

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Upload ONE photo showing ALL bottles together in a single frame, with the LOT NUMBER clearly readable. The photo must be clear, in focus, and taken at the time of submission. Duplicate submissions will be denied. If you do not have multiple bottles, upload a single bottle photo as required

Order Numbers *

If you have multiple orders, please enter all order numbers in the field provided. The order numbers and the single‑frame lot photo you upload must match and accurately reflect the bottles being claimed. If you do not have multiple orders, please enter 0000.

I confirm that the information provided is accurate and complete to the best of my knowledge. I understand that all refund requests are reviewed and verified prior to approval and processing.

After form completion, our team will review your request and process eligible refunds or replacement as quickly as possible.

We sincerely apologize for the inconvenience and appreciate your patience

Mogo Moringa LLC.

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Product Recall Submission Form

MOGO MAGENSIUM GLYCINATE CAPSULE