Bluefield Brands Contact Form

Bluefield Brands Contact Form

We're here to help! Please fill out the form as completely as possible.
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please choose the reason for your inquiry. *
Product Information (Please fill out as completely and accurately as possible.)
Select a Brand *
Product Name *
Such as Kinchou Minnow, Proton Spincast Reel, Pro Aluminum Kayak Paddle, etc.
Model Number or UPC
Not required, but this will speed up our response!
What is the name of the store where the product was purchased?
Please enter the name of the store or online store website where the product was purchased. Enter GIFT if the product was received as a gift.
Where was the product purchased? Leave blank if it was purchased online.

Street Address

Street Address Line 2

City State / Province
Date Purchased

Month Day Year
If you do not know the exact date, an estimate is fine.
Do you have a receipt? *

Yes No
If Yes, upload an image of your receipt here.

Browse Files
Upload a photo of your receipt or screenshot of emailed receipt. Cancel of
Please describe your product inquiry or issue. *

This is required because we cannot help you if we do not have all the details. 0/3000
Upload an image

Browse Files
Max file size 10 MB. Upload up to 4 images. Cancel of
Enter the message as it's shown *
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