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34.234.253.124  Public Scan

URL: https://mupba5xsu1p.typeform.com/to/Bw8nXeur?typeform-source=ergatta.com
Submission: On January 01 via manual from US — Scanned from US

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Question 1
1

Please fill out the information below in order to file an Ergatta warranty
claim.This question is required.*



First name *

Last name *

Phone number *
Afghanistan
Afghanistan
+93
Åland Islands
Åland Islands
+358
Albania
Albania
+355
Algeria
Algeria
+213
Andorra
Andorra
+376
Angola
Angola
+244
Anguilla
Anguilla
+1
Antigua & Barbuda
Antigua & Barbuda
+1
Argentina
Argentina
+54
Armenia
Armenia
+374
Aruba
Aruba
+297
Australia
Australia
+61
Austria
Austria
+43
Azerbaijan
Azerbaijan
+994
Bahamas
Bahamas
+1
There are 217 options. Select an option using the up and down arrow keys.
Confirm with the enter key. Touch devices are also supported.

Email *

OK
press Enter ↵
Question 2
2

Please include your current address in case we need to ship you a replacement
component.This question is required.*



Address *

Address line 2

City/Town *

State/Region/Province *

Zip/Post code *

Country

OK
press Enter ↵


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