Physical TV Damage Form Please fill out the form and one of our representatives will contact you within 24 hours. HiddenNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page: (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020). Important: Delete this tip before you publish the form.1. Order Number(Required) 2. Point of Contact(Required) 3. Point of Contact Phone(Required)4. Point of Contact Email(Required) Enter Email Confirm Email 5. Current Location of Item(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 6. Brand/Manufacturer(Required)-- Please choose an option --SamsungLGOther7. Upload picture of serial tag on unit (must be readable)(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.8. Upload picture of full front view of unit box(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.9. Upload picture of full back view of unit box(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.10. Upload picture of full left view of unit box(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.11. Upload picture of full right view of unit box(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.12. Upload picture of serial tag on box (must be readable)(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.13. Upload picture of clear damage including surrounding area. (powered on if possible)(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.PhoneThis field is for validation purposes and should be left unchanged.