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FlexScreen Warranty Claim
Your Information
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Shipping Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Warranty Information
Warranty Code
(Required)
Reason for Replacement
(Required)
Screen Information
How Many Screens Are You Claiming For Warranty?
(Required)
One Screen
Two Screens
Three Screens
Screen Width Measurement Shown On ID Label
(Required)
Screen Width Fraction Measurement Shown On ID Label
(Required)
0
1/16
1/8
3/16
1/4
5/16
3/8
7/16
1/2
9/16
5/8
11/16
3/4
13/16
7/8
15/16
This field is hidden when viewing the form
Width TOTAL
Screen Height Measurement Shown On ID Label
(Required)
Screen Height Fraction Measurement Shown On ID Label
(Required)
0
1/16
1/8
3/16
1/4
5/16
3/8
7/16
1/2
9/16
5/8
11/16
3/4
13/16
7/8
15/16
This field is hidden when viewing the form
Height TOTAL
Screen Mesh Type Shown On ID Label
(Required)
Standard
FlexView Clean and Clear
FlexView Small Insect
FlexView Extra Strength (Pet)
FlexView Solar
This field is hidden when viewing the form
UI Total
This field is hidden when viewing the form
Screen Cost
Damage Information
Photo Showing Full Screen
(Required)
Max. file size: 300 MB.
Photo Showing ID Label on Side of Screen
(Required)
Max. file size: 300 MB.
Photo Showing Damaged Screen
(Required)
Max. file size: 300 MB.
Screen Number 2 Information
Screen #2 Width Measurement Shown On ID Label
(Required)
Screen #2 Width Fraction Measurement Shown On ID Label
(Required)
0
1/16
1/8
3/16
1/4
5/16
3/8
7/16
1/2
9/16
5/8
11/16
3/4
13/16
7/8
15/16
This field is hidden when viewing the form
Screen #2 Width TOTAL
Screen #2 Height Measurement Shown On ID Label
(Required)
Screen #2 Height Fraction Measurement Shown On ID Label
(Required)
0
1/16
1/8
3/16
1/4
5/16
3/8
7/16
1/2
9/16
5/8
11/16
3/4
13/16
7/8
15/16
This field is hidden when viewing the form
Screen #2 Height TOTAL
Screen #2 Mesh Type Shown On ID Label
(Required)
Standard
FlexView Clean and Clear
FlexView Small Insect
FlexView Extra Strength (Pet)
FlexView Solar
This field is hidden when viewing the form
Screen #2 UI Total
This field is hidden when viewing the form
Screen #2 Cost
Screen #2 Damage Information
Screen #2 Photo Showing Full Screen
(Required)
Max. file size: 300 MB.
Screen #2 Photo Showing ID Label on Side of Screen
(Required)
Max. file size: 300 MB.
Screen #2 Photo Showing Damaged Screen
(Required)
Max. file size: 300 MB.
Screen Number 3 Information
Screen #3 Width Measurement Shown On ID Label
(Required)
Screen #3 Width Fraction Measurement Shown On ID Label
(Required)
0
1/16
1/8
3/16
1/4
5/16
3/8
7/16
1/2
9/16
5/8
11/16
3/4
13/16
7/8
15/16
This field is hidden when viewing the form
Screen #3 Width TOTAL
Screen #3 Height Measurement Shown On ID Label
(Required)
Screen #3 Height Fraction Measurement Shown On ID Label
(Required)
0
1/16
1/8
3/16
1/4
5/16
3/8
7/16
1/2
9/16
5/8
11/16
3/4
13/16
7/8
15/16
This field is hidden when viewing the form
Screen #3 Height TOTAL
Screen #3 Mesh Type Shown On ID Label
(Required)
Standard
FlexView Clean and Clear
FlexView Small Insect
FlexView Extra Strength (Pet)
FlexView Solar
This field is hidden when viewing the form
Screen #3 UI Total
This field is hidden when viewing the form
Screen #3 Cost
Screen #3 Damage Information
Screen #3 Photo Showing Full Screen
(Required)
Max. file size: 300 MB.
Screen #3 Photo Showing ID Label on Side of Screen
(Required)
Max. file size: 300 MB.
Screen #3 Photo Showing Damaged Screen
(Required)
Max. file size: 300 MB.
Warranty Shipping Cost
Screen Shipping Cost
Price:
$0.00
Screen #2 Shipping Cost
Price:
$0.00
Screen #3 Shipping Cost
Price:
$0.00
Total Shipping & Handling
Δ
Subtotal
Options
Total
FlexScreen Warranty Claim quantity
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Category:
FlexScreen
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