e-bikes America - 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 cliam request that is found incorrect.
Purchase Information
Invoice Number
Address Product was Shipped to:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Purchase Date

MonthDayYear
Date
Product ID / SKU
Describe the issue
Claim Picture

Cancelof
Customer Details
Customer Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address if Different from Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Warranty Claim Form