Customer Contact Form

Internet buyers can contact us for inquiry type information for this form. Please review all information via the advertisement and by contacting the manufacturer directly for any compatibility questions.

All buyers are to read the policies prior to completing this form. Company will not respond to any time of inquiries which can be answered in the company policies. All buyers who have purchased an item from our online store have stated legally that they have read and agreed to these policies. All buyers are responsible for complying to these policies at all times.

Buyers who place falsified information next to the requested information will be immediately banned from the site without notice.
Legal Disclaimer.

This form is for communication purposes only. Any buyer who completes this form is bound legally by the terms and conditions of this site. Buyers will not place any information in the fields other than that of which is requested. Buyers have no legal juridication to alter the terms once they have completed the sale.

Buyers had adequate time and accessibility to the terms and conditions in which company is willing to sell the products advertised on this site. Company will not respond to any buyer inquiry which results in a direct violation of these legal and binding terms and conditions. Company reserves the right to ban any buyer from site if they are found violating this agreement, this includes buyers who have purchased items in the past.
Date of Request Date of Request / MM / DD YYYY
Customer Age *
Maximum of 2 digits allowed. Currently Entered: 0 digits.
Name Name * First Last
Enter the name exactly how it appears on the sales order.
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *

Confirm Email Address *
Have you purchased an item from our online store in the past 45 days? *

Have you purchased an item from our online store in the past 45 days? No, I am a new customer. Yes, I have purchased an item in the past.

Current buyers must use the support site which was clearly stated to them at the time of payment clearance. No Exceptions.
If you have purchased an item, what is the date of the purchase. If you have purchased an item, what is the date of the purchase. / MM / DD YYYY
Product Purchase / Of Interest *
Maximum of 15 characters allowed. Currently Entered: 0 characters.
Do not place any other information in this field other than what is stated.
What is the nature of this inquiry? *
Authorized Cardholder. *

Authorized Cardholder. Buyer states they are the authorized cardholder who has or who will be making the purchase.
Terms and Conditions. *

Terms and Conditions. Yes, buyer states they have read the terms & conditions of the sale which include cancellation, payment, shipping, sales, warranty policies.
Product Advertisement. *

Product Advertisement. Buyer states they have read the products advertisment and condition prior to purchase.
Restocking Policies.

Restocking Policies. Buyer state they have read and accept the companys policies regarding restocking policies.
Shipment Policies *

Shipment Policies Buyer states they have read and agreed to the policies regarding the online store's shipment policies.
Shipment Time Frame. *

Shipment Time Frame. Buyer states they have read, agreed, and are completely aware of the company's shipment time frame of products.
Terms of Sale. *

Terms of Sale. Buyer states they are fully aware of the terms regarding purchases from the merchant's online store.
Warranty Policies. *

Warranty Policies. Buyer states they have read and accepted.
Customer Signature. Buyer states the above information is truthful in nature and buyer will comply with terms and conditions of company. *

Clear
Buyer is to place no other information other than their signature in the above field. Any other information will automatically be deleted by system and system may ban buyer from site if no valid signature is found in the fiield above.
Buyer Signature Buyer Signature * First Last
Date Date * / MM / DD YYYY
Spam Protection. Please answer this simple question.
In the number 29283, what is the 2nd digit?

Customer Contact Form

Customer Contact Form

Legal Disclaimer.