The following statement of facts is hereby certified to be correct
Claimant Information (* - Mandatory)
Prov/State
*
Phone
*
-
-
x-
Claim and Shipment Details
Commodity
*
Kindersley Pro No
*
Quantity *
Description
Unit Cost *
Type
Amounts must include all applicable discounts
If the claim involves damaged goods, you must check one or more of the following:
If you have supporting documents, please submit them here. Allowable document types are Adobe Acrobat(PDF), color images (JPG).Please try to keep the combined size of all documents below about 10 Mb. Additional documents can be submitted later using information provided when confirmation Is emailed to you.