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Product Warranty Return / Replacement Request

NOTE: This form is ONLY for customer returns related to Signify Electronics products under the warranty period and for U.S. ship to locations (no Canadian or non-U.S. ship to locations). For warranty information on all other locations outside the U.S., refer to our main warranty page for specific warranty information.

If you are a distributor or agent and want to return good products or inoperable units, please call customer service at: 1-800-372-3331 and select option #1.
THIS FORM CANNOT BE USED TO REQUEST THAT MATERIAL BE RETURNED FOR CREDIT TO YOUR CORPORATE ACCOUNT.


Material Need: (must enter at least one product and quantity)
Catalog #* Quantity Defective* Product Failure Type*
   
 
 
 
     
Advance Reference Number (only if applicable, not required)
Installation or Job Information:
* Name of Installation    
* City  *State      
* Date of Installation
(mm/dd/yyyy)
(approx. date if not known)
NOTE: Request may not process if date is not in correct format        
(mm/dd/yyyy - ex. 04/08/2006)
      
* Reason(s) for return
(256 Characters Maximum)
 
 

Warranty Ship To Information: (U.S. locations ONLY.)
* Company Name    
* Street Address    
* City    
* State  
* ZIP (Format: 12345 or 12345-6789)  
* Attention    
* Phone    

Contact Information:
* Name    
* Company * State      
* Phone    
* Email      
* Confirm Email