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 *

Click or drag files to this area 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

Click or drag files to this area 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: *