BMC Warranty

Retailer Information

Name*

Phone*

Account Number*

Email Address* (This email address will be used for communications regarding this warranty claim.)

Employee Name*

Sales Rep*

First Name

Last Name

Address

Address 2

City

State / Region

Postal Code

Country*

E-Mail Address

Phone

Model Year*

Bike Model*

Bike Platform*

Bike Size*

Serial Number*

Date of Purchase*

Retailer Internal Reference

Affected Part*

If Affected Part Other

Defect*

If Defect Other

Detailed Claim Description*

Photo of Complete Bike*

Photo of Serial/Frame Number*

Photo of Invoice/Receipt*

Photo of Damage 1*

Photo of Damage 2

Photo of Damage 3

Video of Damage

Please Accept the Terms & Conditions*

Please Acknowledge: Fees will occur for customer bikes at your will that do not fall under the Warranty Terms & Conditions*

The retailer confirms they have received authorization from the customer to allow BMC to get in direct contact with them regarding the claim.*

Yes No