Your Email Address:*

Your Contact No:*

Date Purchased:*

Model:*

Select modelFujifilm X-T1Fujifilm X-T10Fujifilm X-E2Fujifilm X-E1Fujifilm X-100TFujifilm X-100SFujifilm X-100Fujifilm X-M1Fujifilm X-A1Fujifilm X10Fujifilm X20Fujifilm X30Fujifilm X-Pro1Not Listed

Lens:*

Select LensXC 16-50mmF3.5-5.6 OISXC 50-230mmF4.5-6.7 OIS——–XF 14mm F2.8 RXF 16mm F1.4 WRXF 18mm F2 RXF 23mm F1.4 RXF 27mm F2.8XF 35mm F1.4 RXF 56mm F1.2 RXF 56mm F1.2 R APDXF 60mm F2.4 R Macro XF 90mm F2 R LM WR———XF 10-24mm F4 R OISXF 18-55mm F2.8-4 R LM OISXF 18-135mm F3.5-5.6 R LM OIS WRXF 55-200mmF3.5-4.8 R LM OISXF 16-50mm F2.8 R LM OIS WRXF 50-140mm F2.8 R LM OIS WRNot Listed

Serial: Kit purchases please provide the Body Serial number only*

To verify your claim, we will need a legible copy of the proof of purchase.

Please make sure that all details on the proof of purchase is clearly readable, i.e. date, name of store, items, etc.

Please attach proof of purchase: *

*1MB file size limit