686 Retailer Warranty Form

1

Account Number and/or Store Name* This field is required.Example: SX0086/686 Technical Apparel

2

Store/Retailer Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

3

How many defective items are you submitting?* This field is required.You can submit up to 5 in a single request.

4

Item 1: Store Stock or Customer Return* This field is required.Store stock is expected to be new with tags still attached. A customer return will require a receipt to confirm the date of purchase and duration of ownership/use, the same way you would expect at your store.

Store stock

Customer return

5

Item 1: Customer Receipt From Date Purchased* This field is required.We need this to confirm the duration of ownership/use.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

6

Item 2: Store Stock or Customer Return* This field is required.Store stock is expected to be new with tags still attached. A customer return will require a receipt to confirm the date of purchase and duration of ownership/use, the same way you would expect at your store.

Store stock

Customer return

7

Item 2: Customer Receipt From Date Purchased* This field is required.We need this to confirm the duration of ownership/use.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

8

Item 3: Store Stock or Customer Return* This field is required.Store stock is expected to be new with tags still attached. A customer return will require a receipt to confirm the date of purchase and duration of ownership/use, the same way you would expect at your store.

Store stock

Customer return

9

Item 3: Customer Receipt From Date Purchased* This field is required.We need this to confirm the duration of ownership/use.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

10

Item 4: Store Stock or Customer Return* This field is required.Store stock is expected to be new with tags still attached. A customer return will require a receipt to confirm the date of purchase and duration of ownership/use, the same way you would expect at your store.

Store stock

Customer return

11

Item 4: Customer Receipt From Date Purchased* This field is required.We need this to confirm the duration of ownership/use.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

Item 5: Store Stock or Customer Return* This field is required.Store stock is expected to be new with tags still attached. A customer return will require a receipt to confirm the date of purchase and duration of ownership/use, the same way you would expect at your store.

Store stock

Customer return

13

Item 5: Customer Receipt From Date Purchased* This field is required.We need this to confirm the duration of ownership/use.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

The next steps will require the item's Style Number and LOT Number.
These are located on the inside care label as shown below.

15

Item 1: Style Number/Description + Color + Size* This field is required.Please provide the Style Number as shown in the previous step along with the Color and Size.

Style Number

Color

Size

16

Item 1: LOT Number* This field is required.Please provide the LOT Number as shown in the previous step. It will start with a "P." If none, enter "N/A" (Gloves and mitts will not have one so simply enter "N/A".)

17

Item 1: Problem Description* This field is required.Provide a detailed description of the issue and its location. Example: "Open seam inside left (when wearing) chest pocket."

18

Item 2: Style Number/Description + Color + Size* This field is required.Please provide the Style Number along with the Color and Size.

Style Number

Color

Size

19

Item 2: LOT Number* This field is required.Please provide the LOT Number. It will start with a "P." If none, enter "N/A" (Gloves and mitts will not have one so simply enter "N/A".)

20

Item 2: Problem Description* This field is required.Provide a detailed description of the issue and its location. Example: "Open seam inside left (when wearing) chest pocket."

21

Item 3: Style Number/Description + Color + Size* This field is required.Please provide the Style Number along with the Color and Size.

Style Number

Color

Size

22

Item 3: LOT Number* This field is required.Please provide the LOT Number. It will start with a "P." If none, enter "N/A" (Gloves and mitts will not have one so simply enter "N/A".)

23

Item 3: Problem Description* This field is required.Provide a detailed description of the issue and its location. Example: "Open seam inside left (when wearing) chest pocket."

24

Item 4: Style Number/Description + Color + Size* This field is required.Please provide the Style Number along with the Color and Size.

Style Number

Color

Size

25

Item 4: LOT Number* This field is required.Please provide the LOT Number. It will start with a "P." If none, enter "N/A" (Gloves and mitts will not have one so simply enter "N/A".)

26

Item 4: Problem Description* This field is required.Provide a detailed description of the issue and its location. Example: "Open seam inside left (when wearing) chest pocket."

27

Item 5: Style Number/Description + Color + Size* This field is required.Please provide the Style Number along with the Color and Size.

Style Number

Color

Size

28

Item 5: LOT Number* This field is required.Please provide the LOT Number. It will start with a "P." If none, enter "N/A" (Gloves and mitts will not have one so simply enter "N/A".)

29

Item 5: Problem Description* This field is required.Provide a detailed description of the issue and its location. Example: "Open seam inside left (when wearing) chest pocket."

30

Item 1: Front Photo* This field is required.Please provide one image of the front of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

31

Item 1: Photos of Problem/Issue* This field is required.Upload up to 4 images that clearly detail the issue and its location. Poor quality photos will cause delays in our evaluation.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

32

Item 2: Front Photo* This field is required.Please provide one image of the front of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

33

Item 2: Photos of Problem/Issue* This field is required.Upload up to 4 images that clearly detail the issue and its location. Poor quality photos will cause delays in our evaluation.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

34

Item 3: Front Photo* This field is required.Please provide one image of the front of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

35

Item 3: Photos of Problem/Issue* This field is required.Upload up to 4 images that clearly detail the issue and its location. Poor quality photos will cause delays in our evaluation.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

36

Item 4: Front Photo* This field is required.Please provide one image of the front of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

37

Item 4: Photos of Problem/Issue* This field is required.Upload up to 4 images that clearly detail the issue and its location. Poor quality photos will cause delays in our evaluation.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

38

Item 5: Front Photo* This field is required.Please provide one image of the front of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

39

Item 5: Photos of Problem/Issue* This field is required.Upload up to 4 images that clearly detail the issue and its location. Poor quality photos will cause delays in our evaluation.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

40

Item 1: Back Photo (optional)Please provide one image of the back of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

41

Item 2: Back Photo (optional)Please provide one image of the back of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

42

Item 3: Back Photo (optional)Please provide one image of the back of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

43

Item 4: Back Photo (optional)Please provide one image of the back of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

44

Item 5: Back Photo (optional)Please provide one image of the back of the item. We need to see the entire product to confirm the style, color, and the product's condition.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

45

Item 1: Store Invoice Number or Purchase Order* This field is required.This number is used to reference transactions between our company and your store and is required to process credit requests. Example: INV# 0350929 or PO# OR-1082334.

46

Item 2: Store Invoice Number or Purchase Order* This field is required.Example: INV# 0350929 or PO# OR-1082334.

47

Item 3: Store Invoice Number or Purchase Order* This field is required.Example: INV# 0350929 or PO# OR-1082334.

48

Item 4: Store Invoice Number or Purchase Order* This field is required.Example: INV# 0350929 or PO# OR-1082334.

49

Item 5: Store Invoice Number or Purchase Order* This field is required.Example: INV# 0350929 or PO# OR-1082334.

50

Additional Information (optional)Provide any additional details you think are relevant to your claim(s).

51

Your Name* This field is required.

First Name

Last Name

52

Your Email* This field is required.

example@example.com