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Your Name*
Street Address*
Street Address 2 (Apartment/Suite #, Etc.)
City*
State/County*
ZIP/Postal Code*
Country*
Phone*
Email*
Date of Purchase* Enter the date you purchased our product, as shown on your receipt
Grill Serial Number
Grill Size, Color, Class*
Purchase Receipt (3 MBs or less)* Clear File
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Word Quiz* Please spell 4 with letters instead of number characters.
Image Quiz* Please prove you are human by selecting the Flag.
Date
Street Address* Street Address 2 (Apartment/Suite #, Etc.)
City* State/County*
ZIP/Postal Code* Country*
Dealer Name* If purchased through saffiregrills.com, please put Saffire Web. If purchased at Saffire's physical location, please put Saffire Direct.
Dealer Contact's Name
Dealer Phone
Dealer Email
Grill Serial Number Grill Size, Color, Class*
Part(s) Description* What is the part that you are filing a claim for? Part Number(s) What is the part number of the item you are filing a claim for?
Description of Defect*
Photo Upload of Damaged Part #1 Clear File Photo Upload of Damaged Part #2 Clear File
Photo Upload of Damaged Part #3 Clear File
Proof of Original Purchase Proof of original purchase is required for full warranty replacement. If left blank you may still qualify for half warranty replacements. (Examples of Proof: purchase receipt, credit card statement, check register with check #, date, and cost) Clear File
Word Quiz* What letter does Saffire begin with?
Image Quiz* Please prove you are human by selecting the Plane.
Dealer's Distributor Leave blank if you purchased directly from us
Dealer Name*
Street Address Street Address 2 (Apartment/Suite #, Etc.)
City State/County
ZIP/Postal Code Country
Dealer Contact's Name*
Customer's Name*
Phone
Email
Purchase Order (Optional) The purchase order that goes along with this warranty claim. Clear File
Processing and Fulfillment* Please credit me for these replacement part(s) as applicable, I will provide the parts to the customer out of my stock.Please charge me as applicable and ship the replacement part(s) to me ASAP.Please charge me as applicable and ship the replacement part(s) to me with my next order.Please charge me as applicable and ship the replacement part(s) directly to the customer address provided above.
Word Quiz* What is the first word in this sentence?
Image Quiz* Please prove you are human by selecting the House.
Distributor Name*
Distributor Contact's Name*
Dealer's Name*
This section is only required if you want us to ship the replacement parts to another address other than the distributor's.
Ship To ... DealerDealer's Customer
End-User Date of Purchase* Enter the date the dealer or the customer purchased our product, as shown on the end-user's receipt
Dealer's Purchase Invoice Dealer's purchase invoice is required for consideration of free shipping on your claim. Clear File
Customer's Proof of Original Purchase Customer's proof of original purchase is required for consideration of free shipping on claims where the customer is the end-user (that is, the customer owns the grill and this claim is ultimately being made on the customer's behalf). (Examples of Proof: invoice, purchase receipt, credit card statement, check register with check #, date, and cost) Clear File
Processing and Fulfillment* Please credit me for these replacement part(s) as applicable, I will provide the parts to the dealer/customer out of my stock.Please charge me as applicable and ship the replacement part(s) to me ASAP.Please charge me as applicable and ship the replacement part(s) to me with my next order.Please charge me as applicable and ship the replacement part(s) directly to the ship-to address provided above.
Word Quiz* The opposite of yes is ...? (Hint: Starts with a N.)
We might already have the answer in our FAQ’s.
