First Name *

Last Name *

Email *

Phone

Address * Please enter your full mailing address. This is the information we will use to send your replacement.

Where was this item purchased? *

Amazon
Retail Location
Other Website
This was a gift

Proof of Purchase *

Please attach a photo of the receipt. If this was a gift, please attach a photo of the device.

SKU

Ex: NFL-BTH-COWB. If you can't find it, please proceed to the next 3 questions and ensure a photo of the device is attached to the Proof of Purchase above.

What TYPE of item are you claiming under warranty? *

What is the Brand/League of the product? *

NFL Team

NCAA Team

NHL Team

MLB

Reason for Claim *

I agree Terms and Conditions

Thanks for your submission!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for your submission!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Warranty Claim

Please fill out below carefully, All information entered on this claim form (including address) must be complete and accurate. Information submitted through this form will be used to process your Warranty Claim, only and will not be used for any other purpose.

Thanks for your submission!

Thanks for your submission!

Wireless Charging Station

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