01. Customer Name* First name* Full address* Postal code* City* Email address* Phone (international format, e.g. +33…)* 02. Purchase Purchase date Purchase price (€) Store (e.g. Amazon) Product number* Store city (in-store purchase) Website (online purchase) 03. Submission Proof of purchase* Photo or PDF of your receipt (JPEG, PNG or PDF, maximum 5 MB). Agree the privacy policy * This field is mandatory Privacy Policy