Warranty Claim Form
 
 
 
 
 
First Name*
 
 
 
 
Last Name*
 
 
 
 
Company*
 
 
 
 
Email*
 
 
 
 
Business Phone*
 
 
 
 
Urgency of Request*
 
 
 
 
EH&S Impact*
 
 
 
 
Sundyne Serial Number*
 
 
 
 
Legacy Brand
 
 
 
 
Reason for Warranty Claim*
 
 
 
 
Description of Warranty Claim Issue*
 
 
 
 
Do you want a Return Material Authorization number to return material to the factory?
 
 
 
 
If requesting parts to be provided under warranty, list quantities and part numbers
 
 
 
 
 
 
 
Address to ship warranty parts to
 
 
Address Line 1*
 
 
 
 
Address Line 2
 
 
 
 
Address Line 3
 
 
 
 
City
 
 
 
 
Country*
 
 
 
 
State / Province (North America only)*
 
 
 
 
Zip / Postal Code (USA only)*
 
 
 
 
Zip Postal Code (outside USA)
 
 
 
 
Preferred Shipping Method
 
 
 
 
Note that Sundyne does not cover freight charges on non-warranty or expedite shipments.  Shipping account number required if freight charges apply.  
 
 
 
 
 
Any additional information that will help us with your warranty claim