CASHBACK FILL OUT THE FORM Your full name OR Company name*: Your address (street name, number, city and post code)*: Your e-mail address*: Your contact number*: Serial number*: Date of purchase* (day/month/year): Country of purchase*: —Please choose an option—CroatiaSloveniaSerbiaBosnia and HerzegovinaMontenegroNorth MacedoniaKosovoAlbania Name of the store (where you bought the Sigma lens)*: Attach the completed blue warranty card (max. 1MB per file in .jpg/.png/.pdf format)*: Attach the invoice (max. 1 MB for file in .jpg/.png/.pdf format)*: Please carefully enter the IBAN of your bank account where you would like the refund to be transferred* Would you like the information from this application to be used as a request for an extended warranty?*: Yes, I would like to submit a request for an extended warranty as well.No, I do not wish to submit a request for an extended warranty.