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Warranty Form

Please complete this warranty claim form to initiate a request for product evaluation under our warranty terms. Our team will review your submission and contact you as soon as possible with the next steps. This form is for authorized distributor use only.

Full Name(Required)

Phone

Distributor/Company

RGA#

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Commments

Product(s) Information

Product Name

Finish

Lamp Type

Wattage

Degree Spread

Color Temp

QTY

Date Code *

Reason For Return

Replace/Credit

*Code is located on the base/back of the product and is typically a 4 or 5 digit number.

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Distributors must have a storefront and sell to the general public. Please email completed applications to [email protected]