Light Bulb Product Complaint Form
Tell us about the product issue and your preferred resolution.
Full name
*
First Name
Last Name
Email address
*
example@example.com
Product model or SKU
*
Purchase date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Store or website where purchased
*
Bulb type and wattage
*
Issue type
*
Does not turn on
Flickering
Burns out too quickly
Incorrect specifications
Physical damage
Other
Complaint details
*
Photo of the bulb or packaging
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred resolution
*
Replacement
Refund
Troubleshooting help
Other
Submit complaint
Should be Empty: