PROKNEE STRAP/ BUCKLE EVALUATION FORM

Please review this form before filling out to ensure you have all required items on hand. We require proof of purchase & photos of your kneepads in order to submit this form.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Of the concerns you are experiencing, please select all that apply:*

Locks on buckle are dislodging prematurelyBuckle breakageStraps loosening prematurelyOther, please explain below:
What kneepad model is this affecting?*
Please upload your proof of purchase for all pairs experiencing issues**

*If you cannot locate your proof of purchase, alternatively you may mail in your kneepads for a proper evaluation. Please visit ProKnee.com/2023 to submit the "No Proof of Purchase" form.
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Please upload a photo of your kneepads indicating your issue:*

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PROKNEE STRAP/ BUCKLE EVALUATION FORM