A-Tools

Claim ID# New
IMPORTANT : This claim form is for extended service protection plans only, covering products past the manufacturer’s original warranty period, usually one year. If your product is within one year of the purchase date, please contact the original purchase retail location for details on service.
Submission Date:	Jun 24, 2018
Title:*	MrMs
First Name:*
Last Name:*
Street Address*
City:*
Province:*
Postal Code:*
Primary Phone:*
Secondary Phone:
Customer Email:*
Confirm Email:*
Brand:*
Model:*
Purchase Date:*
Invoice Number:*
Purchased From Location:*
Problem Description:*