Submit this form to submit your request for repair to your Orvis waders. (After typing in the required information in the fields below, click on the "Send Wader Repair Request" button at the bottom of this form).

After you submit this form, you will receive confirmation of your request in 1 business day, which will contain a repair number and additional instructions on how to return your waders to Orvis for repair.

* First Name:
* Last Name:
* Zip or Postal Code:
* E-mail: 
* Daytime Phone: 
If Dealer, Enter Name:
* Billing Address:
* Shipping Address
(All repairs must be returned to a physical address):
* Description of Waders:
* Where Purchased:
Location of Purchase
(if Dealer or Retail Store):
* Approx. Purchase Date:
* Enter a description of the repair your waders need (required):
*  I understand that there is a $40.00 handling charge for wader repair. I will include a check with the waders or I will call Orvis Customer Service and provide my credit card number.
* Required Fields