test - warranty return request form - Portacool Evaporative Coolers

Warranty Return Request Form - Test Algorithm

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Model Number(Required)

Serial Number of Unit(Required)

Manufacture Date Code

Part Number

Brief reason for warranty request(Required)

Seeking(Required)

Replacement Part

Credit *Item must have been purchased directly from Portacool, LLC

Hidden

Manufacturer Label Upload (old)

Accepted file types: jpg, jpeg, pdf, png, Max. file size: 10 MB.

Manufacturer Label Upload(Required)

Drop files here or

Accepted file types: jpg, jpeg, pdf, png, Max. file size: 5 MB, Max. files: 5.

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