Glove Warranty Claim Form

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Date of Purchase(Required)

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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

All warranty claims must include this form, including serial numbers of each glove. Serial numbers may be found on the tag on the cuff of each Niroflex Glove. Tag must be present and readable on the glove for warranty coverage.

Send gloves to: Niroflex USA, Attn: Warranty Department, 6129 North 89th Circle, Omaha, NE 68134

Please enter all serial numbers below, or upload XLS or CSV file with list of serial numbers:

GU-2500 (wrist length)

Enter Serial #s | Click plus sign to add multiple rows

GU-2500 (wrist length) | XXS

XXS

GU-2500 (wrist length) | XS

GU-2500 (wrist length) | S

GU-2500 (wrist length) | M

GU-2500 (wrist length) | L

GU-2500 (wrist length) | XL

GU-2500 (wrist length) | XXL

XXL

GU-2504 (3” cuff)

Enter Serial #s | Click plus sign to add multiple rows

GU-2504 (3” cuff) | XXS

XXS

GU-2504 (3” cuff) | XS

GU-2504 (3” cuff) | S

GU-2504 (3” cuff) | M

GU-2504 (3” cuff) | L

GU-2504 (3” cuff) | XL

GU-2504 (3” cuff) | XXL

XXL

GU-2509 (6” cuff)

Enter Serial #s | Click plus sign to add multiple rows

GU-2509 (6” cuff) | XXS

XXS

GU-2509 (6” cuff) | XS

GU-2509 (6” cuff) | S

GU-2509 (6” cuff) | M

GU-2509 (6” cuff) | L

GU-2509 (6” cuff) | XL

GU-2509 (6” cuff) | XXL

XXL

GU-2515 (9” cuff/elbow)

Enter Serial #s | Click plus sign to add multiple rows

GU-2515 (9” cuff/elbow) | XXS

XXS

GU-2515 (9” cuff/elbow) | XS

GU-2515 (9” cuff/elbow) | S

GU-2515 (9” cuff/elbow) | M

GU-2515 (9” cuff/elbow) | L

GU-2515 (9” cuff/elbow) | XL

GU-2515 (9” cuff/elbow) | XXL

XXL

GU-2532 (shoulder length)

Enter Serial #s | Click plus sign to add multiple rows

GU-2532 (shoulder length) | XXS

XXS

GU-2532 (shoulder length) | XS

GU-2532 (shoulder length) | S

GU-2532 (shoulder length) | M

GU-2532 (shoulder length) | L

GU-2532 (shoulder length) | XL

GU-2532 (shoulder length) | XXL

XXL

Other

Enter Serial #s | Click plus sign to add multiple rows

Other | XXS

XXS

Other | XS

Other | S

Other | M

Other | L

Other | XL

Other | XXL

XXL

Serial Numbers List

Accepted file types: xls, xlsx, csv, Max. file size: 32 MB.

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P.O. Box 90 Deerfield, IL 60015 USA
Tel: +1 847 400-2638 Fax: +1 847 919-3809
E-mail: metalmesh@niroflex.com