Fill out this form if you own a Prima product in need of warranty service.

Prima


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Your Name Or Business Name /Both*REQUIRED*
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State & Zip code
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Phone:  Home    Work      
   
Type Of Product ?
Application ?
Brand Name:
Model Number : *REQUIRED*
Serial Number : *REQUIRED*
     
Where Purchased? (Name of Retailer. IE: Circuit City, Best Buy, Home Depot)*REQUIRED*
Date Of Purchase? (As Indicated on Sales Receipt)*REQUIRED*
Date Of Manufacture ? (Leave Blank if not sure)
Proof Of Purchase? (Attach POP document. Click the Browse button  to locate primary photo or document type file on your system. Acceptable file formats are .jpg, .gif, .pdf and .doc  For multiple files, please use ZIP or similar compression, such as IZARC.)

 

 Check Here if You suspect a Lightning Strike.
Type Of Failure?
   
   

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