RUFFWEAR DEALER WARRANTY FORM

Store Information

Required FieldStore Name 
Required FieldYour Name 
Required FieldFirst Name 

Required FieldAddress 
Address line 1 
Suite, Unit # 
Address line 2 
Required FieldCountry 
Required FieldCity 
Required FieldState 
Required FieldZip Code 
Required FieldPhone Number 
Phone Number 
Required FieldEmail Address 
Required FieldEmail 

Product Information

Required FieldReplacement (US only) or Credit 
Required FieldDetailed description of product defect 
Required FieldStyle Name 

Required FieldColor 
Required FieldSize 
Required FieldProduct ID Tag # (Example: POP1234) 
Form Template 
Required FieldTitle 
Required FieldUpload photo of product defect