Safe Receipt Guarantee
Claim Form
Name
*
First Name
Last Name
Account Holder Email
*
example@example.com
Phone Number
*
Account Holder Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Boxx Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tracking Number of Missing Package
*
Delivery Confirmation as Documented by Carrier
*
File Upload: Proof of Purchase for Claimed Item, Pictures of Damaged Boxx (if any), Pictures of Mounting Method
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Notes
Accept Terms and Conditions
*
Accept
Signature
*
Please verify that you are human
*
Continue
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