Please enable JavaScript in your browser to complete this form.Name *FirstLastLayoutPhone *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDid you purchase your product through our website or at/with a different store? *---Purchased through PerfectionLures.comPurchased from a different storeOrder #: *What store did you purchase your Perfection Lures product from? *Please let us know which product(s) you have purchased. *What is the issue at hand? *Please upload pictures of the following... PicturesProblem... * Click or drag files to this area to upload. You can upload up to 10 files. Full/ENTIRE Product... * Click or drag files to this area to upload. You can upload up to 3 files. Upload imagesReceipt / Proof of Purchase * Click or drag files to this area to upload. You can upload up to 3 files. Upload ImagesIf NO PROOF OF PURCHASE is provided, your product IS NOT GUARANTEED to be covered under our warranty policy. *I understand that if I do not provide a receipt / proof of purchase, my product is not guaranteed to be covered under any warranties.Have you already spoken with someone in our facility that advised you to fill out this form? *---YesNoWho did you speak with? *Submit