EmailMeForm
Warranty Application form - Helmets
Apollo Helmets - Dealer use only
Shop Name
*
Contact name
*
Account Number
** Staff use only
Address
Street Address
City
State / Province / Region
Postal / Zip Code
** Need not fill this out if you are an account customer
Email
*
Phone
*
Date of purchase
*
DD
/
MM
/
YY
If brand new and unsold, put todays date
Helmet Brand
*
Adura
Pit
Limar
Model
*
Failed part
*
Retention System
Cosmetic damage
Exterior shell
Straps
Failure / Fault description
*
Proof of purchase
*
For helmets that are NOT brand new.
Helmet Image
*
Failure Image
*
Extra File Upload if needed
Sales Rep
James Huang
Dan Pradal
Jason Eve
Craig Simpson
Gary Bell
Greg Williams
David Patterson
If you want your sales rep CC'd into this warranty process, check the name of your sales rep. This is not required.