Please enter your name as it appears on your order, as it appears on your credit/debit card that you used to make your purchase and as it appears on your legal un-expired drivers license or state issued identification (ID) card.
Legal First Name
Legal Middle Name
Legal Last Name
Please enter your address as it appears on your current legal un-expired drivers license or state issued identification (ID) card
Address as it appears on your current legal un-expired drivers license or state issued identification (ID) card. If both addresses are the same, enter the address in both fields.
Current Home Address
Please provide a photo of your legal un-expired drivers license or state issued identification (ID) card.
Please provide a current photo of your face for verification
If the name on your claim does not match the name as it appears on your legal un-expired drivers license or state issued identification (ID) card your claim will be denied.
If the photo of your face does not match the photo as it appears on your legal un-expired drivers license or state issued identification (ID) card your claim will be denied.
Please provide an active and valid email address, and an active phone number. We recommend using an email that you have easy and quick access to, especially on your mobile device. We will need a way to send documentation back and fourth if need be, and being able to quickly access documentation or information is vital to you resolving your claim.
We will need to speak with you on the telephone throughout the entirety of the claim process, we recommend using the number of a phone you currently are using everyday. If this email and number was used at the time of purchase, they will be required to match or your claim will be denied.
Active & Valid Email
Active & Valid Phone Number
E-Signature
Please provide details about the transaction below, we will use this information to verify the validity of the information provided about the sale/transaction with-in this claim by cross referencing with information about the transaction with the payment processors. Any and all information provided in this section must be accurate and true or your claim will be denied.
Ticket/Order Number
Exact Purchase Date
Transaction Post Date
Transaction Amount
Issuing Bank
Please provide the exact billing address as it appears on your online order receipt. Any misinformation here will lead to claim denial. If you made your purchase In-store and only provided a home address or mailing address, re enter that address in the "Billing Address" field. If you did not provide an address at the time of purchase in store, then enter "N/A" in the "Billing Address" Field.
Billing Address
Issuing Bank's Address
Issuing Bank's Manager
Issuing Bank's Manager Contact
Team Member's Name
Number of days missing
If yes? Was this for a specific reason?
Please enter your shipping address as it appears on your order receipt or yellow ticket. If your shipping address is the same as your home address and ID address, enter it here again.
Shipping Address
Additional information relevant to this claim.
Once you submit your claim a member of our sales team will go over the details of your claim and cross reference them with order information in our records. Once we have verified that the information provided in the claim is accurate & true we will contact you directly to begin the process of a Return or Cancellation. Our team member will go over these options with you and help you resolve your purchase issue.
First Name
Middle Name
Last Name
Submit Claim
