Warranty Claim Form

    First name*

    Last Name*

    Email*

    Phone*

    Product Information

    Serial Number* (Located under the seat of your chair)

    Comments/Description*

    Upload photos

    Picture size limit should not exceed 1 MB. Please upload one image of your chair, the original receipt and a close-up of your problem. If you have multiple Issues please outline them above in as much detail as possible. **If you receive an error message when submitting the form, please email the image along with your name and address to info@lifeformchairs.com.**

    Reciept*

    Damage*

    Photo of Chair*