Antebellum Manufacturing Warranty Claim Form
Collects product installation and defect details.
2399 NW 35th Street | Ocala, FL 34475 | (352) 877-3888
Full Name:
*
Phone Number:
*
Email Address:
*
Mailing Address:
*
Property Type (Residential / Commercial / Other):
*
Installation Address:
*
Date of Installation:
*
/
/
Installed By (Self / Contractor / Company Name):
*
Was the fence professionally installed?
*
Install Method
Professional Install
DIY
Friend/Family
Product Type (Fence Panel / Gate / Post / Other):
*
Style Name (e.g., Abigail, Emily, etc.):
*
Color:
*
Quantity Affected:
*
Date of Purchase:
*
/
/
Place of Purchase (Distributor / Retailer / Other):
*
Describe the defect or issue in detail (include nature of damage, symptoms, etc.):
*
Has the product been exposed to coastal, industrial, or high-salt environments?
*
Choose One
Yes
No
Has there been any recent event that could have contributed (e.g., storm, impact)?
*
Choose One
Yes
No
Any signs of ground shifting or structural settling where the fence is installed?
*
Choose One
Yes
No
Date the issue was first noticed:
*
/
/
Date this claim is being submitted:
*
/
/
Signature:
*
Draw
Type
Upload
Choose your signature image
Print Name:
*
8. Declaration Date
*
/
/
Upload Attachments (Pictures Required for Claim)
*
Choose a file or drag it here. (Pictures required)
Uploading...
You can upload one or more files.
Your form has been saved. You can complete it using this link within %(day)s days.
Copy
Submit