Product Repairs, Returns & Service

Please complete the form below.

After submitting, we ask that you print this form and include it in the box with your item so that we may expedite your request.

Order Information

First Name

Last Name

E-Mail

Telephone

Order ID

Order Date

Product Information & Reason for Repair, Return or Service

Product Name

Product Code

Quantity

Reason

Repair

Return

Service

Product is opened

Yes No

Faulty or other details

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I have read and agree to the Repair, Service Terms