Warranty Claim

By clicking Submit, You are providing express consent to be contacted by BRAVA via phone call, email, and SMS text messages, which may include customer care communications to ensure your project goes smoothly. Contact may be made using automated technology to the number and email address you provide.

Submission of this form does not obligate you to purchase goods, services, or products. Please see ourPrivacy Policyand Terms and Conditionsfor more information on how your data is used.

PROPERTY OWNER INFORMATION

First Name

Last Name

eMail Address:

Cell Number:

INSTALLATION ADDRESS

Installation Address

Enter Address Here for Auto Complete

Installation Address

Address 2 (Apartment, suite, unit, etc.)

Installation City

Installation ZIP / Postal Code

Installation State / Province (Ex: TX, NY, AB)

2 characters left

Installation Country

YOUR CONTRACTORS INFORMATION

Enter Contractor Company Name:

Contractor Address

Enter Address Here for Auto Complete

Contractor Address

Contractor Address 2

Contractor City

Contractor's ZIP / Postal Code

Contractor's State / Province (Ex: TX, NY, AB)

2 characters left

Contractor's Country

Contractor Phone Number

Contractor Contact Person

Contractor's eMail

Contractor 's Website

256 characters left

PRODUCT INFORMATION

Number of Squares Installed

WARRANTY ISSUE

Describe Your Warranty Issue

Upload Photo(s) Of your Issue. (Photo of issue is required)

IMPORTANT!: YOUR PERMISSION TO COMMUNICATE WITH YOU VIA TEXT MESSAGE

Please grant us permission to communicate with you:

I AGREE, to receive text messages from BRAVA related to my inquiry (recommended for the best experience and fastest response).

If at any time you wish to opt out of text messaging, reply STOP. For help, reply HELP. Message frequency may vary. Message and data rates may apply.

By clicking Submit, I am providing express consent to be contacted by BRAVA via phone call and email which may include customer care communications to ensure my project goes smoothly. Contact may be made using automated technology to the number and email address I provide. If you requested a contractor referral, communication may come from a contractor directly. Submission of this form does not obligate you to purchase goods, services, or products. Please see our Privacy Policy and Terms and Conditions for more information on how your data is used.

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