Warranty Request
About You
First Name
Last Name
Email
Street1
Street2
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code
Phone
About Your Footwear
Style Name
Style Code
Example
Size
Color
Purchased From
Purchase Price
Date of Purchase
Frequency of Wear
Daily
Few Times Per Week
Few Times Per Month
Unworn
Upper:
Cracks/Creases
Stitching
Fading/Discolored
Other
Interior:
Insole Problem
Imperfection
Other
Outsole:
Sole Cracked/Split
Sole Worn Prematurely
Heel Separating
Squeaking
Other
Additional Comments:
(200 characters or less)
200
characters remaining
Attach Photos
Valid image types are: png, jpeg, jpg. Image size should be under 5MB
Shoe Style Code:
none
Example
Shoe Problem Image:
(show defective area)
Example
Proof of Purchase:
(optional)
Submit