Warranty Claims - Dialight

Here at Dialight we are committed to providing our customers with the best experience possible. We are sorry that you are having a problem with our products. Please fill this form out to the best of your ability. The information on this form helps us to expedite warranty claims.

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Warranty Support Form

Step 1 of 2

1. Please tell us about yourself
Name*
Please list the person you would like to be the main contact throughout the warranty review.*
First Last
Title**
Title*
Email**
Email*
Phone*
Phone*
Company**
Company*
Site Location
Site Location
Region**
Region*
Country
Country*

Country
Address Americas*
Ship Replacements to Address:

Street Address Address Line 2 City
States US**
State*
Province/Territory (Canada)
Province/Territory*
States Mexico
State*
Zip/Postal Code*
Zip/Postal Code
Address EMEA*
Ship Replacements to Address:*

Street City Area/District City/Town/Village County Postal Code
Address APAC*
Ship Replacements to Address:*

Recipient Name Other Recipient Information Street (Subunit Number Name) Locality/State Post Code
Distributor Name
Distributor Name
Distributor Contact
Distributor Contact
Distributor Location
Distributor Location
Distributor Email
Distributor Email

Warranty Support Form

Step 1 of 2

1. Please tell us about yourself

2. Please tell us more about the problem you are having.