Warranty Return Authorization Entry

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Country

First name

Last name

Organization

Street address

City

State

Zip code

Email Address

Confirm Email

Phone #

Purchased From

Products
Enter individual product information below and click the "Add" button to add the product to your submission.
Product #	Qty	Receipt Date	Return Category	Return Reason	Description
Product # Loading…	Qty	Receipt Date	Return Category	Return Reason

Only Image files and .pdf files are permitted (.png, .jpg, .jpeg, .tiff, .gif, .pdf).

Please name all file names for receipts being uploaded without special characters , for example: "(", ")", "_" or "/"

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