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Warranty Claim Form
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7
Questions
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1
Date of Purchase
*
This field is required.
When was the product purchased?
-
Date
Year
Month
Day
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2
Product Model Name
*
This field is required.
What is the product name? Example: Air Canada Optimum
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3
Your Name
*
This field is required.
First Name
Last Name
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4
Email
*
This field is required.
example@example.com
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5
Phone Number
*
This field is required.
Please enter a valid phone number.
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6
Images of the Damage
*
This field is required.
Up to 3 close-up images of the damage
Drag and drop files here
Select files to upload
Max. file size
: 97.7MB
Browse Files
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7
Brief Description of Damage
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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