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The Warranty Claim Form must be completed, in full detail,
for each warranted unit.

The Warranty Claim Form must be completed, in full detail, for each warranted unit. One claim form should be
submitted for each unit returned. A copy of each claim form, as well as a copy of the Bill of Lading, should be retained for your records.
Person In Charge Name and Title *
Address
City
State
ZIP
Country *
Email *
SMS *
Failed Part Information
Purchase Date
Proforma Invoice No.
Model/Series
Lot No.
Purchase Volume (Rolls)
Shipping info
Payment Type (T/T In advance)
Payment Date (YYYY-MM-DD)
REASON FOR REPLACEMENT OR COMPENSATION
Attachment
Security Code *
자동입력방지
I agree to the collection of my name, email address, and inquiry details for the purpose of responding to my submitted request.
In principle, all collected information will be destroyed without delay once the purpose of use has been fulfilled, except where retention is required under applicable laws or the company’s internal policies.