www.a-ipower.com
Problem Description
Action Take
Primary Information
Internal Use
Serial Number
Model
Color
Claim Number
Registration Number
Circle one:
Consumer Dealer
Service
Did you send in your Warranty Card? If not, proof of purchase is required. Yes No
Have you ever had a warranty issue with the same unit before?
Yes No
Name:
Phone:
Address:
City, State, Zip code:
Date of purchase:
Where:
A-iPOWER WARRANTY CLAIM FORM
