PCS Warranty Form Warranty Form Palm Coast Sales Warranty Replacement Form. This form must be completed fully to be submitted for approval, to include all applicable serial numbers. "*" indicates required fields Business InformationPlease note that all Warranty Claims are submitted to the manufacturer. Palm Coast Sales will process your claim within 3 business days to submit to the manufacturer. It may take up to 30 days to receive a decision. The warranty form should only be filled out by a Palm Coast Sales dealer. Customers should not use this form. Please reach out to your local dealer or contact the dealer you originally purchased your product from. Dealer Name*Phone*Email* Original Purchase InformationCustomer Name* First Last Customer Phone Number*We may need to reach out to the customer to verify warranty details. Purchase Date* MM slash DD slash YYYY Install Date* MM slash DD slash YYYY Warranty starts on install date, not purchase date. Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Product InformationIf you are unable to find any of the required information, please reach out to your sales representative. They are able to help you find necessary item codes and serial numbers. Brand*(select one)ChallengerDometic HomeGreen Mountain GrillsHaloNapoleonTwin Eagles/Delta Heat by DometicEGG Size* Mini Mini Max Small Medium Large XL 2XL Not an EGG (Parts or Accessories) Stamp CodeStamp Code is located on ceramic Big Green Egg items manufactured after 2017.Serial Number*Item or Part NumberPlease include the item number or part number that needs to be replaced. If this field is left empty for an item that does have a part number, your form will be denied. Please refer to the product manual for part numbers. Items or Part NumbersPlease include the item numbers or part numbers that need to be replaced. If this field is left empty for an item that does have a part number, your form will be denied. Please refer to the product manual for part numbers. Model*Quantity*123456789101112131415161718192020+Detailed Damage Reason or Detailed Reason for No Receipt.*Proof of Purchase Type* Point-of-Sale Receipt (Requires Upload) Dealer Voucher (Requires Upload) Bank or Credit Card Statement (Requires Upload) BGE Approval Email (Requires Uploaded Document) Product Warranty Registration – must have been submitted to Big Green Egg prior to January 1, 2024 (Requires Uploaded Document) Store Stock (Invoice of Purchase from Palm Coast Sales) Big Green Egg will NOT approve or accept any warranty without one of the proof of purchase types above. (In special cases, please contact [email protected]).Photo Of Damage* Drop files here or Select files Accepted file types: jpg, png, pdf, jpeg, Max. file size: 100 MB, Max. files: 5. We cannot process a warranty claim without photos of the damage. You may add up to 5 photos of the damage. Please provide color images with a minimum of 150 dpi. Include at least two pictures: • One showing the entire product. • A second with a detailed view of the defect. • An optional third image for additional clarity. Customer Receipt*Accepted file types: jpg, png, pdf, Max. file size: 100 MB.The warranty claim for the brand you selected cannot be processed without customer receipt. Proof of Purchase or Customer Receipt*Accepted file types: jpg, png, pdf, Max. file size: 100 MB.The warranty claim for the brand you selected requires a customer receipt. A dealer copy of the sales receipt is acceptable.Requested ActionSelect when to send replacement:Send replacement(s) to dealer with the next submitted orderSend replacement(s) to dealer now (customer responsible for shipping cost)Select where to send replacement Directly to Dealer Directly to Customer Dealer's Ship To Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Customer's Ship To Address Customer's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code NOTE: Shipping Damage Claims should not be submitted via a Warranty Claim. Please use our Shipping Claim form for any shipping discrepancies or damages: PCS Shipping Claim Form CommentsThis field is for validation purposes and should be left unchanged. Δ