Warranty Claim Form

First Name *

Last Name *

Address 1 *

Address 2

Address 3

City *

State / Province *

Zip Code *

Email *

Phone *

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Item Count *

Item Name *

Repair / Replace

Repair or Return Only. It has sentimental value and I want it back If it cannot be repaired, send a comparable model OK to substitute with a different model

Problem Description *

To continuously improve our products, it helps us to know what you were doing with the product when it broke. This information will be used by our engineering team to make improvements.

Accept return policy *