Chaptah Warranty Claim Form

Chaptah Warranty Claim Form
1. ALL WARRANTY ITEMS MUST BE SENT BACK TO GKA SPORTS

2. Only one claim per submission will be processed.

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

4. Chaptah has the right to decline a warranty.
Shop Name
Contact Name *
Contact Number *

Area Code Phone Number
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Purchase Date *

Month Day Year
Date
Brand *
Product Type *
Model *
e.g. Bestia, Smart Light, Ultra Glove, Vest, Super Shield Tube
Size *
e.g. Small / 700x23 / 20 x 1.75-2.125 Shrader
Quantity *
Serial Number *
Barcode *
e.g. CHHY700351 / CHLSL / CHRPBLKXXL
Describe the issue *
What PSI was the tyre running? *
Please put 'N/A' if the claim does not relate to a tyre
Which sealant was used? *
Please put 'N/A' if the claim does not relate to a tyre
Which wheels were used? *
Please put 'N/A' if the claim does not relate to a tyre
Claim Picture *

Cancel of
If your claim is approved, please indicate which of the following options you would prefer? *
Should be Empty: