Warranty Claim Form

Warranty Claim Form
1. Only one claim per submission will be processed.

2. Picture of the claim is mandatory for us to evaluate.

3. It is in our right to disapprove any claim request that is found incorrect or fraud.

4. The completion of this form by the customer does not constitute an admission of liability by MPI.
Purchase Information
Company Name
Your Name

First NameLast Name
Email*
example@example.com
Phone Number*
Contact Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Purchase Date

DayMonthYear
Date
Invoice/Order Number
Product SKU/Description*
Describe the issue*
Claim Picture*

Cancelof
Should be Empty: