Imagine Surf Warranty Claim Form

IMAGINE SURF
4000 Ponce de Leon Blvd

Suite 470

service@imaginesurf.com

www.imaginesurf.com

(800) 960-4570
Warranty Claim Form
1. One claim per submission.

2. Please attach as many supporting documents as possible (i.e. Photos, Videos, Original Receipt).
Customer Details
Customer Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Product Information
Model
Length
Serial Number
Construction
Purchase Information
Dealer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Purchase Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please describe the issue with your product
When was this issue first detected

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Where was your board stored at the time?
Was it being paddled at the time?
How often was the board used?
How many total times has the board been paddled since purchase?
Supporting documents (Photos, Videos, Original Receipt)

Cancelof
Signature
Should be Empty:

Warranty Claim Form