WCR Return/Warranty Form

Return/Warranty Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Is this a return or a warranty submission?*

ReturnWarranty

Customer's Current Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Original Order Number*
Describe the problem.*
Please attach a picture(s) of the problem.*

Cancelof
What type of warranty is this?*

XERO Brand WarrantyAny Other Brand Warranty

What type of XERO warranty is this?

What XERO System did you order?*
What is the serial number on your system?
If unsure or can't find it, please skip this.
Are you the original owner of the XERO system?*

YesNo

What XERO Pole did you order? *
Please try to list the exact model and be as specific as possible.
If this is a clamp issue, please indicate what # clamps are faulty?*
Please try to list the exact model.
Are you the original owner of the XERO pole?*

YesNo

What brand are you submitting a warranty for?
What product are you submitting a warranty for?*

Order Number*
What product(s) do you want to return?*
Any specific reason you want to return it?

Anything else to let us know before you submit the form?
Should be Empty: