Helmet Replacement Submission

Apply to receive a replacement for a damaged helmet

First Name^*

Last Name^*

City^*

Country^*

Contact Number^*

Email^*

Helmet Model^*

Helmet Colour^*

Helmet Size^*

Discipline^*

Description of the accident^*

Please upload the following:

Your purchase receipt
Pictures of the damaged helmet
Picture of the PO sticker inside the helmet containing a 6 digit number
Picture of the strap cut on the helmet so it cannot be reused for safety reasons

I agree to the terms and conditions. I undertake to throw away my damaged helmet and will not sell or give it away.