Blue Seal Claim Form
KLC Employee name
*
First Name
Last Name
KLC Employee Email
*
example@example.com
Store
*
Whitinsville
Uxbridge
Grafton
Product Name (please include size)
*
SKU
*
Blue Seal Lot Number (Date Code)
*
Quantity
*
When was the problem found?
*
In-store prior to sale
By customer after purchase
Customer name (if applicable)
Customer email (if applicable)
Customer phone (if applicable)
Please enter a valid phone number.
Date or purchase (as close as possible, if applicable)
-
Month
-
Day
Year
Date
Reason for claim
*
Please attach photos of close up, and overall condition of the product
*
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