Warranty Claim Form
This form is intended for retailers and redistributors of our brands. If you are a consumer, please contact an authorized retailer of the product(s) for warranty assistance.
Contact Information
All fields must be completed.
Dealer Name or Customer #
Full Name
*
First Name
Last Name
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Additional E-mail (if desired)
example@example.com
Product Information
Brand
*
Alpina
Elan
Rottefella
Masters
Model
*
Size
*
Additional Model(s):
Use this space to enter additional models and sizes.
Serial/Production #
*
It is on the other side of the textile label on inner side of the boot. Ifthe date of production is not visible there is also six digit number(between 22000 and 32000).
Copy of Proof of Purchase:
To assist in the claim, a POP is highly recommended to advance the warranty process.
Is product NEW or USED?
*
New
Used
Description of Issue
*
Please briefly describe the issue you are encountering.
0/500
Detail Photo of issue(s)
*
Upload a File
Maximum upload size 4MB
Cancel
of
Preferred Claim Action
Replacement
Credit
Note: To chose alternate action, please use drop down.
Enter the message as it is shown
*
ELAN USA CORP - WARRANTY POLICY
Please click
HERE
to read the ELAN USA CORP Warranty Return Policy.
By checking the following box, you agree to have read and understood the Elan USA Corp Warranty Policy.
*
Yes
Submit Claim
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