PURCHASE DETAILS

In the next steps we'll ask you to select your preferred merchandise gifts, upload proof of purchase and enter your delivery address.

Firstly, please tell us about you and your Fluke purchase.

Receipt / Invoice number*

Please enter your receipt / invoice number

Distributor*

Please select your distributor

Distributor name*

Please enter your distributor

Purchase Date*

Please enter a valid date

Please enter a date after August 1st, 2021

Please enter a date before December 31st, 2021

First name*

Please enter your first name

Last name*

Please enter your last name

Amount spent on Fluke products*

Please enter an amount

Please enter an amount over $250

Email address*

Please enter a valid email address

Cell phone*

Please enter your cell phone number

I agree to the Promotional Terms and Privacy Policy*

Please tick to agree to the Promotional Terms

* Mandatory field