Customer Support Request End User Contact InformationEnd User Name* First Last End User Company Name* End User Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican 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 Islands Country End User Email* End User Phone Number*PO Number Drytac Invoice Number Dealer InformationDealer Company Name Dealer Key Contact First Last Dealer Email Dealer Phone NumberProduct InformationDrytac Product Name* Drytac Product SKU Batch 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 All Face Film Adhesive Release Liner How many metres/feet of the affected roll have been used? Have you retained samples of the issue? Yes No Have you retained the affected roll(s)? Yes No Please 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?* Yes No Which Print Technology Was Used? Please Select All That Apply. Latex (Eco) Solvent UV Aqueous Printer Manufacturer and Model Number Used to Print Graphics Ink Set Used to Print Graphics Printer (ICC) Profile Used to Print Graphics Was The Take-Up Reel Used? Yes No Date Printed Please include day, month, and year.Installation InformationWas The Product Installed?* Yes No Date Installation Was Performed Please include day, month, and year.Date Issue Was Reported Please include day, month, and year.Application Location(s) Indoor Outdoor Application Surface(s) Windows Walls Floors Vehicles Other - Please Note Below Please 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 files Accepted file types: jpg, png, pdf, Max. file size: 256 MB. CommentsThis field is for validation purposes and should be left unchanged.