V-MODA Warranty Claim Form

NAME*
EMAIL*
PHONE*
10 DIGITS ONLY
SHIPPING ADDRESS*
This is the address that your warranty replacement unit will be sent to.
Address Line 1*
Address Line 2*
Address Line 3
PINCODE*
6 DIGITS ONLY
This is the address that your warranty replacement unit will be sent to. Please make sure that you include accurate and complete address details here. No address change requests will be taken hereafter. Please make sure that this is the address you will be at within the next ~15 days.
CHOOSE YOUR V-MODA MODEL*
SOURCE DEVICE*
Please tell us what phone/player/amp/DAC you're using to help us with replicating your issue on inspection
ORDER NUMBER*
PURCHASED FROM*

Headphone Zone WebsiteHeadphone Zone StoresAmazon.inTata CliqFlipkartSnapdealPaytmApple StoreCromaOther
DATE OF PURCHASE*

DayMonthYear
Date
UPLOAD YOUR INVOICE*

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NATURE OF THE ISSUE*

No sound - both sidesNo sound - right sideNo sound - left sideSound intermittent - both sidesSound intermittent - right sideSound intermittent - left sideBuzzing soundQuieter - left sideQuieter - right sideVolume buttons not workingPlay / Pause buttons not workingMicrophone not workingCan't connect to the deviceHeadphones / earphones don't chargeCharging case doesn't workPower button not workingCharging cable not workingBattery drainage
If you need to elaborate on the issue, or if the nature of issue does not exist in this list select the most closely related issue and please use the message box below to elaborate.

Image Guidelines: Please upload images clearly showing all sides of the product. For example:
- For an IEM - clearly show both sides of the earpieces and the cable termination.
- For a DAC - take a photo of the inputs, outputs, and cables
- For all products - we need images for all the accessories (cables, power adapters, charging cases). You may exclude eartips and IEM cases.
UPLOAD PRODUCT IMAGES*

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MESSAGE
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