Please complete this form by typing information in the text
boxes where requested, and clicking the check boxes that apply
to your requests. Then click the "Submit" button at
the bottom of the page to submit your requests to me via e:mail,
or click the "Clear" button to erase the form and start
over. The more information you supply will enable me to more efficiently
process your request. To print the form, use the "Print"
button available through your browser.
Warranty claims require 2 clear photocopies of the original
bill of sale, and the Store Information must be completed.
For store owned goods (retailers only) the Store Information
must be completed.