Form

Ticket name*

First name*

Last name*

Email*

Phone number*

Inquiry Description*

Model Name*

Order number*

Enter the order number (e.g., Amazon, Walmart, eBay) to validate your claim

Serial Number*

Purchase Date*

Month/Day/Year

Manufacturing date*

You will find this on the data plate with the serial number.
If not available, type '11/11/1111'

Month/Day/Year