Order #

You must have a web order # to submit a return claim. This # can be found on your email confirmation receipt when you made a purchase and on the printed receipt that came in your shipment.

Date of Purchase

Select Product Type

---Lowering DeviceReplacement PartsFuneral Home SuppliesCemetery SuppliesEmbalming Fluids

Select Reason

---Product DefectMaterial DefectWorkmanship DefectOther

If "Other," please describe in detail:

Name & Address

For international customers, please refer to our distributors page for a list of certified Frigid affiliates in your country.

Special Instructions: