Warranty Form
Please complete this form if you have a defective scale and would like to request a replacement under our 1 year warranty program.
Email address *
First Name *
Your answer
Last Name *
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Detailed Description of issue or problem you are experiencing *
Your answer
Date of Purchase *
MM
/
DD
/
YYYY
Place of Purchase *
Your answer
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This form was created inside of ConnectScale LLC.