Warranty Claim Ticket Form
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Full Name
*
Please enter your full name as registered.
This field is required.
Date of Purchase
*
Select the date when you purchased the product.
mm/dd/yyyy
This field is required.
Phone Model
*
Please specify the model of your phone.
This field is required.
Description of the Issue
*
Provide a detailed description of what happened to the product.
This field is required.
Upload Supporting Documents (if any)
Upload any documents such as receipts or photographs that support your claim.
Click to upload or drag and drop
This field is required.
Preferred Contact Method
*
Select how you would like to be contacted regarding your claim.
Select an option
Email
Phone
This field is required.
Email Address
Optional, enter your email if preferred contact method is Email.
This field is required.
Phone Number
Optional, enter your phone number if preferred contact method is Phone.
This field is required.
Submit
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