BlueAnt Wireless - Warranty Consumer Form



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For warranty matters please complete the form below and a BlueAnt representative will be in contact with you within 3 business days. * Denotes required field.

First Name*

Last Name*

Email Address*

Daytime Telephone Number*

Cell Phone Number

Device Serial Number*

Fax Number

Postal Address *

Have you ever had a Service Call or Return Authority with us previously?

Yes

Where did you purchase your BlueAnt product?*

Are you able to provide a copy of your purchase receipt?*

Date of purchase*

Invoice Number

Which BlueAnt product do you have?*

Interphone Handsfree & Intercom Bluetooth Helmet Kit

Do you wear Open or Closed faced helmet?

M1 Stereo Speakers

Q1 Voice Controlled Headset with Multipoint

S1 Sun Visor Handsfree Kit

Sonic Bluetooth Stereo Speakers

Supertooth II Handsfree Kit

Supertooth 3 Handsfree Kit

Supertooth Light Bluetooth Handsfree Speakerphone

T8 Micro Headset

V1 Voice Control Headset

V12 - LCD Bluetooth Headset

X3 micro Bluetooth Headset

X5/X5i Stereo Bluetooth Headset (please specify)

Z9 Bluetooth Headset

Z9i Bluetooth Headset

Computer System Information

Which operating system are you using?

If other (please speficy):

Are you using a PC or laptop?

Who is the manufacturer of your cell phone?*

What model of cell phone do you have?*

Please describe the problem that you are experiencing*

BlueAnt Technical Support ID No:

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