Tilt
N
Store
Installation
Manual
Claim
Form
Claim Notification Form
If you need this form, please make a copy of it.
Do not remove this page from the manual.
Fax, mail or email this form to:
Lift and Store, LLC, 6230 McKinley St NW, Ramsey, MN 55303 USA
Email: parts@liftnstore.com | Fax: 651-
777
-1535
Failure to file this Claim Notification Form within five (5) days of the
occurrence will void your warranty.
Serial Number: VB
___________________________________________________________
Today's Date:
___________________________________________________________________
Date of Occurrence:
_______________________________
Submitted by
Your Name:
_______________________________________________________________________
Title:
____________________________________________
Company:
________________________________________
Street Address:
_________________________________________________________________
City, State and Zip:
____________________________________________________________
Phone:
_______________________________________________________________________________
Fax:
___________________________________________________________________________________
Contact Email:
___________________________________________________________________
Description of Problem:
____________________________
_________________________________________________
_________________________________________________
_________________________________________________
Notes:
Page
13
