Damaged Shipment Form – Si Jin Bao

Name*
First Last
Company Name
Email*
Phone
Shipping Address*
Please provide the address that the package was shipped to.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Package Delivery Date*
MM slash DD slash YYYY
Please describe the condition the box was delivered in.*
Include any details such as broken glass, leakage, box damage, notes from UPS Driver, etc.
Invoice Number*
Please list the damaged products that need to be replaced as well as quantity of each item.*
Example: 2 - Breathe Again
Photos
Please upload pictures of the damaged products. This includes the outside of the box, and images of any damaged items.
File
Max. file size: 500 MB.
File
Max. file size: 500 MB.
File
Max. file size: 500 MB.
File
Max. file size: 500 MB.
File
Max. file size: 500 MB.