EmailMe Form - Warranty Claim Form

Product List *

Item Number/SKU

Date Purchased *

MM / DD / YYYY

Date Code *

Please include 4-digit date code from product if available. Check under rubber boot for magnet products. If no code is available input 0000.

Purchase Price *

$ Dollars . Cents

Purchased from (Business Location or website) *

Are you an authorized Mob Armor dealer? *

Yes

No

Authorized Dealer Name

Describe reason for claim *

File Upload (supported files types: jpeg - jpg - png - avi - mp4) *

Upload image or video of product that shows the details of the described issue or reason for the claim.

*Include date code in image or video.

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

For warranty claims that are outside of the United States please call (805) 214-1815 option 3

Email Address *

Confirm Email Address

Phone *

### - ### - ####

RMA Number