Liquid Glass Registration
Fill out this form to Register a new Liquid Glass Product purchased through a Retail Store. If you have any questions or concerns, please Contact us at: service@redzombie.com
Email address *
Purchase Info
Company Name and Location *
Sales Rep Name *
Date of Purchase *
MM
/
DD
/
YYYY
Which Liquid Warranty Was Ordered? *
Order Confirmation # *
Device Model *
ex. iPhone X
Device Serial Number *
Device Photo Before Application *
Required
Liquid Applied: *
Customer Contact info
Please enter your contact info below.
Your Name *
Last, First
Phone number *
(xxx)xxx-xxxx
Address *
Street, City, State, Zip
Preferred contact method *
Required
Questions and Comments
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Red Zombie LLC. - Terms of Service