RapidGrow Warranty Request

I Am A Sales Rep

Yes

Contact Name *

First

Last

Company/Organization *

Title / Position *

Contact Phone *

Email *

Job / Project Name *

Reference/PO# *

Sold To: *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Quantity *

Type Lighting *

Greenhouse
Indoor

Part Number / Description *

Description of Problem *

*Please be as detailed as possible. Please advise if any troubleshooting has been performed.

File Upload *

Drag & Drop Files, Choose Files to Upload You can upload up to 40 files.

Please upload any supplemental pictures or videos you may have regarding the defective equipment. Security is a huge priority for us at Visionaire, so we restrict file types to safe files only. These are: - Images like .png, .gif, .jpg - Documents such as .doc, .xls, .ppt, .pdf - Audio like .wav, .mp3, .mp4 - Video like .mpg, .mov, .wmv

Please Select "Yes" for Seperate Part Numbers

Yes
No

Quantity

Type

Greenhouse
Indoor

Part # / Description:

Description of Problem:

*Please be as detailed as possible. Please advise if any troubleshooting has been performed.

File Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 40 files.

Please upload any supplemental pictures or videos you may have regarding the defective equipment. Security is a huge priority for us at Visionaire, so we restrict file types to safe files only. These are: - Images like .png, .gif, .jpg - Documents such as .doc, .xls, .ppt, .pdf - Audio like .wav, .mp3, .mp4 - Video like .mpg, .mov, .wmv

Please fill out the information below to receive replacement parts.

Ship to First and Last Name for Replacement Parts: *

First

Last

Ship to Address for Replacement Parts: *

Address Line 1

Address Line 2

City

State

Zip Code

Site Contact Name: *

First

Last

Site Contact Phone #: *

Site Contact Email: *