WOW Product Warranty Claim Form

FIRST NAME*
LAST NAME*
EMAIL*
PHONE NUMBER*
STREET ADDRESS*
ADDRESS 2
COUNTRY*

USCanada
CITY*
STATE / PROVINCE*
STATE*
ZIP CODE*
PROVINCE*
POSTAL CODE*
PRODUCT INFO
PRODUCT NAME OR MODEL NUMBER*
PRODUCT PRODUCTION CODE*
CLOSEUP PHOTO OF THE DEFECTIVE AREA*

10MB Max JPG, PNG or PDF
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ZOOM OUT OF THE PHOTO OF THE PRODUCT TO LOCATE THE DEFECTIVE AREA*

10MB Max JPG, PNG or PDF
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COPY OF THE RECEIPT (PURCHASE DATE MUST BE WITHIN 1 YEAR)*

10MB Max JPG, PNG or PDF
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BRIEFLY DESCRIBE HOW THE ISSUE/DAMAGE OCCURED OR WAS DISCOVERED
PLEASE VERIFY THAT YOU ARE HUMAN*
Should be Empty:

PRODUCT INFO