Dispute Center

Refund/Product Replacement Request

Customer Requests require a valid receipt for a product purchased within last 90 days

Date of purchase

Please select a brand for which you are requesting a product refund.

Please upload any scanned images of documentation that will be needed for the evaluation and processing of your claim request. (i.e. receipt). Click on the "Browse" button to locate the scanned images to be uploaded.

Upload File

Add File

[Max upload of 6 MB total]

I will provide documentation via email, fax or mail.

Store Information:

Store Lookup

Store Name

Store Address

Store City

Store State / Province

Store Zip Code

Have you contacted the retailer where the product was purchased for your replacement or refund?

Yes No

Product(s) Purchased:

Product

Qty

Unit Cost

Total

Add Product

Reason for Refund/Product Replacement (Please be descriptive):

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Refund/Product Replacement Request

Customer Requests require a valid receipt for a product purchased within last 90 days

Store Information:

Product(s) Purchased:

Reason for Refund/Product Replacement (Please be descriptive):