PREMIUM FACTORY REPORT

First Name*

Last name*

Dealer Name*

Email*

Phone*

Approximate Delivery Date*

Address*

Serial Number*

You can locate your hot tub serial number on the identification plate that is affixed to the outside of the hot tub cabinet. We need this to provide quality control feedback and to be reimbursed by suppliers.

Dealer Location *

Electronic Fault Code

Please describe the Problem that you are Experiencing.*

Please Provide a Picture(s) of the Problem

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