Razor Product Warranty Form Question Title * 1. Your Location Australia New Zealand Question Title * 2. Name Question Title * 3. Email Question Title * 4. Contact Number Question Title * 5. Address (for returns purposes) Question Title * 6. Is product within warranty period (12 months)? Yes No Question Title * 7. Product Name 13111416 - Power Core E90 Green 13111463 - Power Core E90 Pink 13111248 - Power Core E100 Purple 13111298 - Power Core E100 Blue 13111816 - E Prime Air 13111818 - E Prime III 13113665 - E300 HD/HDL 15156230 - Hovertrax Brights Green 15156267 - Hovertrax Brights Pink 15156239 - Hovertrax Prizma Blue 15156257 - Hovertrax Prizma Pink 15156205 - Hovertrax Prizma Black 15130661 - Pocket Mod Betty Purple 15130840 - Pocket Mod Petite Blue 15118260 - MX125 Dirt Rocket 15128040 - MX350 Dirt Rocket 25143444 - Crazy Cart Shift 25143490 - Crazy Cart 15128785 - Rambler 16 Tan Other (please specify) Question Title * 8. Serial Number (the 19-digit number located on the sticker label of the charger/underneath of unit) Question Title * 9. Proof of Purchase (Receipt/Tax Invoice) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Proof of Purchase (Receipt/Tax Invoice) Question Title * 10. Description of Issue/Reason for the Claim Question Title * 11. Photo of Product Issue (if applicable) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Photo of Product Issue (if applicable) Question Title * 12. Photo of Product (showing overall condition) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Photo of Product (showing overall condition) Done