Ticket name*

Please enter the StoreToDoor Order ID*

First Name*

Last Name*

Email (associated with your StoreToDoor account)*

Company name*

City*

Please provide an detailed explanation of your dispute/claim request*

Total Cost of Goods $$ (if including retail value, please note that we only cover a portion of retail value)*

Attach Receipt (max file size 100MB)*

Acknowledgements:*

I acknowledge that all refunds will be issued in the form of a delivery credit

I acknowledge that StoreToDoor covers 'Cost of Goods" or a portion of the Retail Value

I acknowledge that claims can take up to 15 business days to process

I acknowledge that credits will NOT be applied on accounts that have outstanding invoices that are past due

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