Claim Form
Date
*
/
Month
/
Day
Year
Date
Name
*
First Name
Last Name
Location of Item Address
*
Street Address
Street Address Line 2
City
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Alaska
Arizona
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Colorado
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State
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Phone Number
*
Email
*
example@example.com
Purchase Date
*
/
Month
/
Day
Year
Date
Did you purchase the Guardsman Extended Warranty?
Please Select
YES
NO
Sales Order #
*
Order Issue:
*
Please Select
Damaged
Missing Item
Wrong Item Delivered
Wide Shot of Item:
*
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Close Up of Issue:
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Photo of Production Tag:
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Other Photos:
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Describe the issue
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If you have any further questions, please contact Becky at customerservice@strobler.com
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