FILE A CLAIM

Thank you for your submission. Only one claim per request is required.

First Name*

Last Name*

Phone Number (at time of purchase)*

Contact Number (if different)

Current Address of unit*

Postal Code*

City*

Province/Territory*

Email Address*

Please Select Store Location Of Purchase*

Invoice Number (optional)

Unit requiring service*

Brand*

Full Model Number*

Serial Number (optional)

Service Required Or Problem With the Unit*

(*) Mandatory Fields