Maxxair Warranty Form

Product(Required)

Serial Number(Required)

The serial number for your unit can be found in the following locations:

| Maxxfan - On the box or under the fly screen | MaxxDome - On the box or through the mesh under the handle | MaxxShade - Please provide date of purchase and retailer used | SkyMaxx - On the box, under the blind or in the instruction manual |

Date of Purchase(Required)

Description of Issue(Required)

Please provide details on the issue you are having with your product.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Phone(Required)

Email(Required)

Please tick the option that is relevant to you(Required)

This is my own personal unit

I am a trade customer

Name of retailer used for purchase(Required)