1.) * This claim is for:
2.) Are you a:
3.) *Do you have a Warranty Registration Number?:	Yes No
Warranty Registration Number:
*Has this product been purchased within the past 30 days?	Yes No (if yes, then proof of purchase will be required)
	Unfortunately our product is only warrantied up to 30 days without a warranty registration number.
	Please feel free to call Cargo Glide at 877-525-9535 or email support@cargoglide.com with any further assistance with questions or concerns

CONTACT AND PRODUCT INFORMATION

PO#
Distributer/Dealer Name (If applicable):
Date
*Contact
*Email
*Phone
*Shipping Address
*City
*State
*Zip
Purchased from (if applicable)
Date Received
*Unit Model
Low Profile	Yes No
My CargoGlide Size
Vehicle
Make
Model
Year
Bed Size: Length (from bulkhead to tailgate)
Width (between wheel wells)
Installed by
Date
Estimated weight and material loaded on my CargoGlide

SHIPPING DAMAGE CLAIM

*Was the box torn or damaged?	Yes No
Please explain why item was not rejected at delivery?
*Who was the freight company?
*Was the freight company notified?	Yes No
Please explain details?
*Describe damage: (where on unit, what is damaged-please be as specific as possible)
Describe how damaged occurred?

*This claim is for:
*Please describe in detail the claim: (where on unit, what is damaged, defective or missing. Please be as specific as possible)
	a. Describe how damage occurred? b. Estimated weight and material loaded on my CargoGlide:

Send Detailed Pictures and/or Videos for verification of Damaged Parts.