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Warranty Information Form

The Brace Shop is one of the fastest growing online orthopedic supply companies with one of the largest selections of extremity braces and rehabilitation products. With thousands of satisfied corporate partnerships worldwide and over 10,000 items to choose from, it is important for our customers to have superior customer service and quick delivery. The Brace Shop recognizes those needs and our expert staff works with our customers to offer quantity discounts, free domestic ground shipping and billing options. In order to see if you qualify for our corporate account program, please fill out this form and a representative will contact you within one business day.

Customer Order / Invoice#*
Customer First and Last Name*
Customer Email Address*
Contact Telephone Number*
Date of Purchase*
Transaction Amount*
What specific product did you order?*
What is wrong with your product?*
Has your shipping
information changed?*
Yes No
If yes, what is your
new shipping information?
Comments (if necessary)
* = required
Please Click Submit Below to Send Your Form to our Warranty Specialist