Product support / repair application form

It is a form for reception of product problems and repair.

email address 必須

name 必須

Frigana

Country 必須

post code 必須

address 必須

phone number 必須

Purchased product 必須

Purchase store 必須

Purchase date 必須

Failure content (please give as much details as possible.) 必須

If a product other than our product is included for operation confirmation during repair, please describe the included product name and model number.

We are not responsible for any failure or damage to the company for operation verification (such as one -off -in -one combined) products other than BRISEAUDIO products. Please send a product for confirmation (for in -kind) only if you agree.

I accept.
disagree. (Send only our products with failures)
american express apple pay google pay jcb master paypal shopify pay visa