Pick Up Request

Return Case ID / Warranty Case ID*
Eg: RHA1234 or RET123
Full Name*
Address Type*

HomeOffice/Commercial
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
Email ID*
Pick-Up Date*

MonthDayYear
If you're filling this form after 12 PM, a pick up for the same day will not be possible. It can only happen on the next working day (Sundays not included).
Return Case ID / Warranty Case ID
Eg: RHA1234 or RET123
Should be Empty: