Contact Information

    Enter the name of the company that originally purchased the control(s).

    Pickup Address

    If you're having the item picked-up, please provide the address.

    Package Information

    L x W x H

    In pounds (lbs.)

    Enter the original part number of the control. If multiple, please seperate them by commas (,).

    Describe in detail the issue with the product(s).

    Select the age of your controler(s)

    If multiple photos, please zip into a single file.