Full Name/Shop Name/Organization Name ("Name should be the same as mentioned in the Invoice")*
Please fill out this field.
Email*
Please fill out this field.
Mobile Number* (Should Be Of End Customer Only)
Please fill out this field.
Printer Serial Number* (Locate 15 Digit Serial Number)Printer-serial-number
Serial Number needs to contain 15 characters
Invoice Date*
Please fill out this field.
Invoice Number*
Please fill out this field.
Store Name*
Please fill out this field.
Printer Model*
Please select an item in the list.
Delivery Address*
Please fill out this field.
Address should be same as mentioned in address proof
Reward will be dispatched to the address provided in above-mentioned field
State*
Please select an item in the list.
City*
Please fill out this field.
Pincode*
Please fill out this field.
Address Proof* (For ID Copy - must upload both sides)
Please select an item in the list.
The maximum allowed file size is 5 MB
Invalid file type. Only jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, mov, avi, mp4 are supported.
Please choose type files
The maximum allowed file size is 5 MB
Invalid file type. Only jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, mov, avi, mp4 are supported.
Please choose type files
(Size should not exceed 10 MB)
Upload Invoice Copy/Digital Copy (Must have signature & stamp) *
The maximum allowed file size is 5 MB
Invalid file type. Only jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, mov, avi, mp4 are supported.
Please choose type files
(Size should not exceed 10 MB)
The maximum allowed file size is 5 MB
Invalid file type. Only jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx, mov, avi, mp4 are supported.
Please choose type files
(Size should not exceed 10 MB)
*Printer has to be unboxed*
Please check this box if you want to proceed.
Please check this box if you want to proceed.