Customer Support RequestEmailThis field is for validation purposes and should be left unchanged.End User Contact InformationEnd User Name*FirstLastEnd User Company Name*End User Company Address*Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEnd User Email*End User Phone Number*PO NumberDrytac Invoice NumberDealer Contact InformationDealer Company NameDealer Key ContactFirstLastDealer EmailDealer Phone NumberProduct InformationDrytac Product Name*Drytac Product SKUBatch Number - found on the inside of the core or on box label*Roll Number - found on the inside of the core or on box label*How many rolls are affected by this issue?*What part of the product is affected by the issue? Please select all that apply.Select AllFace FilmAdhesiveRelease LinerHow many metres/feet of the affected roll have been used?Have you retained samples of the issue?YesNoHave you retained the affected roll(s)?YesNoPlease describe the issue of the product in detail.*Is the issue seen in one area of the roll or does it run the length of the roll? If Applicable: Matched Drytac Laminate/Mounting Adhesive Product and Batch & Roll Number UsedPrinter InformationWas The Product Printed?*YesNoWhich Print Technology Was Used? Please Select All That Apply.Latex(Eco) SolventUVAqueousPrinter Manufacturer and Model Number Used to Print GraphicsInk Set Used to Print GraphicsPrinter (ICC) Profile Used to Print GraphicsWas The Take-Up Reel Used?YesNoDate PrintedPlease include day, month, and year.Installation InformationWas The Product Installed?*YesNoDate Installation Was PerformedPlease include day, month, and year.Date Issue Was ReportedPlease include day, month, and year.Application Location(s)IndoorOutdoorApplication Surface(s)WindowsWallsFloorsVehiclesOther - Please Note BelowPlease provide, in detail, the process that was performed to install the Drytac material. Please note, if a part of the process is not included, we must assume it was not performed.Please list all the tools and any chemicals used while prepping/installing. This should include cleaning agent. Please note, if a tool or chemical is not included, we must assume it was not used.Upload ImagesPlease upload as many photographs and videos of the affected product. Photos must be clear. Please include close-up images, images at an angle and straight on. If required, please include photos of printing, installation, and application surface.Drop files here or Select filesAccepted file types: jpg, png, pdf, Max. file size: 6 GB.
