By completing this form, you have requested your warranty claim be reviewed. If determined that that product failure has occurred within the applicable warranty period and is a result of a defect in materials or workmanship, a corrective action will be assigned and a Customer Service Representative will contact you regarding the warranty fulfillment process. Name* Email* Phone*Address* City* Country / RegionUnited StatesCanadaMexicoSouth AmericaPlease Select State/ProvincePlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPlease Select State/ProvincePlease SelectAguascalientesBaja CaliforniaBaja California SurChihuahuaColimaCampecheCoahuilaChiapasFederal DistrictDurangoGuerreroGuanajuatoHidalgoJaliscoMéxico StateMichoacánMorelosNayaritNuevo LeónOaxacaPueblaQuerétaroQuintana RooSinaloaSan Luis PotosíSonoraTabascoTlaxcalaTamaulipasVeracruzYucatánZacatecasProvincePlease SelectAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonZip Code Is ship-to address is different from above Yes Address* Name/Company Name Address City State / Province / Region ZIP / Postal Code Phone Number* Products PurchasedDistributor Purchased From:* Approximate or Exact Date of Purchase* MM slash DD slash YYYY Detailed explanation of what caused the damage.*Qty and Part Number or Description of damaged pieces.*Qty.Part Number HiddenUpload Photo*Max. file size: 128 MB.Upload Photo(s)* Drop files here or Select files Max. file size: 128 MB. Upload InvoiceMax. file size: 128 MB.HBB employee submitted:Only select a name if a High Bar Brands employee is submitting the formSelect your nameAngela OcampoChris JohnsonClint HulseDarrel WilsonDavid CoyleDerek KellerDerek QuysDoug EitelGreg RenbergHoracio MendozaIrineo De La GrazaJaime De La PazJeremy GeorgesJosé AlanisJulian HansenKyle FelthamLuis SillerMatt HullManuel RodriguezMichael TruittRichard MayerRyan FleischhackerScott WeeseTim MayTyler BlaedornCommentsThis field is for validation purposes and should be left unchanged.
