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• Claim Form

DAMAGE & RETURN CLAIM FORM Warranty Claims Number:

Section I. General Information:

Today's Date:*:

Contact Name*:

Dealer Name*:

Phone*:

Sales Order #*:

Email*:

Section II. Reason for Claim:

Wrong Product

Missing Parts/Hardware

Manufacture's Defect

Other

Section III. Freight Damage:

Claims must be filed within 15 business days from date of delivery. Pictures of damaged good and original cartons are required and must accompany your claim. Failure to include these items will cause delay or denial of your claim.

Freight Damage Noted Upon Arrival:

Was the Box Damaged? NO YES

Was Shipment Refused or Visible Damage? NO YES

Concealed Damaged:

Was Damage Noted on Bill of Lading? NO YES

Are Items Still in Original Packaging? NO YES

Section IV: Explanation and Photos:

Brief Explanation of Issue:

Section V: Shipping of Replacements:

Original Address from PO

Different Address

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Company Name*:

ATTN:*:

Street Address:*:

City*:

State*: --- Please Select --- AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew Jersey New Mexico New YorkNorth CarolinaNorth DakotaOhioOklahomaOregon Pennsylvania Puerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest Virginia WisconsinWyoming

Zip Code*:

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The Warranty Claim Form has been sent successfully and we will respond promptly. For immediate assistance, please contact Customer Service at 888-705-0777.