Product Warranty Service Request Form
( Use for Product Warranty Returns Only ) Use this form to request warranty service. We will use this information to handle your Warranty request as quickly as possible.

* Date

* First Name

* Last Name

* Address 1

Address 2

* City

* State / Province

* Zip / Postal Code

* Country

* Phone

* Email Address

Product Information

* Item/s Being Returned for Warranty Service

* Purchase Date

* Invoice Number

* Reason for Returning Products under Warranty

Return Options

* Please choose a Warranty Return option below

Send Warranty replacement now, Charge my Card, then Credit my card when my return is received.
Send Warranty replacement when you receive my returned merchandise.

Special Instructions, or Questions about your Warranty Return

Send your Warranty Return to:

Thomas Distributing
Warranty Return
128 East Wood St.
Paris, IL 61944

* Indicates Response Required