Verizon Blackberry BOLD 9000
Claim Number: 123456
My Information

Wireless Bill Address

Street Address: 123 Anywhere Dr. City, State, Zip: Nashville, TN. 37219

Name & Email Address

First Name: Johnny Last Name: Doe Email Address: test@nashvillewoo.com
Shipping Information

Ship to Same Address? Street Address: 123 Anywhere Dr. City, State, Zip: Nashville, TN. 37219 Instructions: N/A Shipping Method: Overnight Est. Delivery Date: 02/01/2009
Payment Information

Bill to Same Address? Street Address: 123 Anywhere Dr. City, State, Zip: Nashville, TN. 37219

Step 1: Verify Your Phone

Is that your phone?

Yes
No

Step 2: What happened to your phone?

Do you still have your phone in your possession?

Yes
No

Step 2: What happened to your phone?

Did your phone come into contact with liquid which caused it to stop working?

Yes
No

Step 2: What happened to your phone?

Please provide the following information:

Click the box below to enter the date that the Incident occurred:

Step 2: What happened to your phone?

Description of Incident:

Step 2: What happened to your phone?

With your wireless equipment you will automatically receive a , and . Were any other accessories affected by your claim incident?

Yes
No

Step 2: What happened to your phone?

Select the accessories that were affected with your incident:

Step 3: Verify Your Information

That's It! Now all you have to do is verify your Personal, Shipping, & Payment Information () to complete your claim.


Process My Claim

Go Ahead...click the button!

Step 1: Verify Your Phone is Correct

Our records indicate that you have a with Verizon. If this is not correct, please select the that you have so that we can correct our records:

OK

That's It! You're Done!

An email has been sent to you with your claim's summary:

Claim Confirmation ID: 123456 Equipment Replaced: Blackberry BOLD 9000 Accessories Replaced: Manual/Battery/Home Charger Total Cost: $50.00 Expected Delivery Date: 02/01/2009