Submit a request – Fuel Helmets, Inc

Your email address

NAME

ADDRESS (STREET ADDRESS, CITY, STATE, ZIP CODE)

PO BOXES NOT ALLOWED

PHONE NUMBER

MUST BE A 10 DIGIT PHONE NUMBER

FUEL HELMET MODEL

SELECT HELMET MODEL

HELMET MANUFACTURE DATE

SELECT HELMET MANUFACTURE DATE

RETURN BOX DIMENSIONS (LENGTH, WIDTH, HEIGHT)

EXAMPLE: 12x14x14 --- DIMENSIONS OF THE BOX YOU ARE USING TO RETURN YOUR RECALLED HELMET

RETURN BOX WEIGHT (IN POUNDS)

WEIGHT OF THE BOX YOU ARE USING TO RETURN YOUR RECALLED HELMET

Attachments

Add file or drop files here

Submit Fuel Helmet Recall Request Form