Warranty - Return form


* denotes required field

Name:*
Phone:*
Email:*
Address:*
City:*
State:*
Postal code:*
Country:*
Date of purchase:*
Proof of purchase (order number or confirmation):*
Store name and contact:*
Store Address:*
Store City:*
Store State:*
Store Postal code:*
Store Country:*
Heating System not functioning:*
Please explain the defect of the bag:*
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