Northside Retailer Warranty Form

Northside Retailer Warranty Form
Once your return has been authorised a Return Authorisation (R.A) Number will be issued with the respective delivery address.
B-M#
(B-M to complete)
Date Purchased*

DayMonthYear
Date
Store Name*
Staff Member*
Date*

DayMonthYear
Date
Store Reference*
Store Email*
example@example.com
Store Phone Number*

Area CodePhone Number
Store Delivery Address*

Street Address

Street Address Line 2

City

Postal / Zip CodeCountry
Customer Full Name*

First NameLast Name
Boot/Shoe Size (US)*
Shoe/Boots Style/Colour*
What issue(s) is the customer experiencing with this shoe or boot?*
What activities does the customer do with their shoe or boots?*
How frequently is this shoe/boot used?*
What is your assessment of the shoe or boots as the staff member who has recieved them?*
Photos required *

Browse Files
PICTURE OF TAG, FULL FRONT, SHOE SOLE, FAULT & PROOF OF PURCHASE Cancelof
Action:
(B-M to complete)
Comment:
(B-M to complete)
Should be Empty: