WCR Return/Warranty Form

Return/Warranty Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Is this a return or a warranty submission?*

ReturnWarranty

Customer's Current Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Original Order Number*
Describe the problem.*
Please attach a picture(s) of the problem.*

Cancelof
What type of warranty is this?*

XERO Waterfed Poles/ClampsXERO SystemsOther - Please type in the brand

Are you the original owner of the XERO pole?*

YesNo
What XERO Pole did you order? *
Please try to list the exact model.
If this is a clamp issue, please indicate what # clamps are faulty?*
Please try to list the exact model.
What series of XERO pole did you order?

Basic (Red Label)3K High Mod (Green Label)Ultra Light Hod Mod (Gold Label)DestroyerTrad PoleOther/Not sure

Product Brand
What product are you submitting a warranty for?*

Order Number*
What product(s) do you want to return?*
Any specific reason you want to return it?

Anything else to let us know before you submit the form?
Should be Empty: