We will get back to you as soon as possible.
Name *
Email *
Phone *
Company Name * Enter the name of the company that originally purchased the control(s).
If you're having the item picked-up, please provide the address.
Street Address
Street Address 2
City
State/Region
Zip/Postal Code
Country
Package Dimensions * L x W x H
Weight of Package * In pounds (lbs.)
Sure Grip Part Number(s) * Enter the original part number of the control. If multiple, please seperate them by commas (,).
Quantity to Return *
Description of the Issue * Describe in detail the issue with the product(s).
Age of Control * Select the age of your controler(s)Newer than 1 year. (Possible warranty)1-2 years old. (Control repairable)Older than 2 years. (Control replacement suggested)Other
Other *
Photo(s) If multiple photos, please zip into a single file.
