Step 1


Please complete the information below. Fields marked with an asterisk (*) denote a mandatory field

*Unique Code is required


*Retailer location is required


*Retailer location is required

*Date of purchase is required

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 Image Uploaded

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  • All evidence must be uploaded.

  • If you have more than 1 large image, you can upload it in sections

  • If document, ensure it's flat, without folds or wrinkles.

  • Please keep your phone or camera flat and steady, to take a sharp and bright image.