Price Match Request Form

Price Match Request Form

We are confident that we offer the lowest upgrade fees, however, If you find a lower upgrade fee* within 30 days of placing your order (even if we have already shipped your pump) we will refund to price match that offer.

*Insurance orders only. Retail orders are not included in our Price Match Guarantee.
Today's Date*

MonthDayYear
Date
Mother's Full Name*

First NameLast Name
Email Address*
example@example.com
Order Number*
Pump Model*
Price on PumpingEssentials.com*
This is the original upgrade fee you authorized.
Price You'd Like Us to Match*
This is the upgrade fee you saw on our competitor's website.
What website did you see the lower upgrade fee on?*
Please provide a screenshot of the lower upgrade fee.*

Cancelof
Insurance Provider*
State of Residence *
Our team will review this information shortly and notify you via email. Please allow 1-2 business days.
Should be Empty: