Lillagunga - Online Order Form

Product Claim Submission v.1.1

Kindly fill in all required fields. The more precise your submission is, the easier it is for us to process it and return to you. Please note that we will reserve 1-2 days before we will respond.
Customer Information
Full name *

First Name Last Name
Email *
Phone *

Purhasing Information
Your order number *
Your order number is visible in your order confirmation email.
Date of purchase *

Month Day Year
Date Picker Icon
Picture upload *

Browse Files
Kindly upload picture(s) which clearly shows the damage of the product. You may supply 3 pictures and the maximum file size per picture is 5 MB. Supported formats: jpg, jpeg, png. Cancel of
Description of the claim *
Kindly briefly but precisely describe the damage, how it occurred and your honest opinion of the possible reason for the damage.

Shipping address *

Product Claim Submission v.1.1