AudioQuest Authentication Request Form

Please complete all required fields.  Your form will not be submitted unless all the required information is provided.  Once the form is submitted, you will receive a confirmation email from AudioQuest.  Be sure to check your spam or junk folder if for some reason you do not receive confirmation into your Inbox.

Buyer's Information

*Required Information
*First Name:
*Last Name:
*Address Line 1:

(street address, P.O. Box, company name, c/o)
Address Line 2:

(apartment, suite, unit, building, floor, etc)
*City:
*State/Province/Region:
*Postal/Zip Code:
*Country:
*Email Address:
*Confirm Email Address:
*Phone (Day):
Phone (Evening):

Product Description

*Cable Type: Interconnect CablesSpeaker Cables
*Model Name:
*Qty:   *Length: SinglePair

Termination for Interconnect Cables:
Termination (Source End):
Termination (Destination End):

Termination for Speaker Cables:
Termination Option: Full-RangeSingle-BiWireDouble-BiWireSingle-BiAmp
Amplifier Termination:
Speaker Termination:
Connectors: GoldSilver

*Place of Purchase:

(store name or website URL)
Username:

(if used to purchase from a website)
*Price Paid:

(specify currency – i.e.
US Dollar, Pounds, Euro, etc)
*Date Purchased:

(mm/dd/yyyy)

Seller's Information

Username:

(if any) used to purchase from a website
Address Line 1: (from the package if possible)

(street address, P.O. Box, company name, c/o)
Address Line 2:

(apartment, suite, unit, building, floor, etc)
City:
State/Province/Region:
Zip Code:
Country:
Seller's Name (if known):
Phone Number (if known):

Copy of Invoice or Receipt

*Please provide a copy of the invoice or receipt you received when you purchased the product in question.
Select a file to upload:
Acceptable file types (extensions) are: jpg, jpeg, png, gif, pdf, doc, docx. Acceptable file size is 1 MB or below.

When you click "Submit Form" button, your information will be sent to AudioQuest and you will receive a confirmation email that contains further instructions.

*Please reconfirm agreement to Terms & Conditions : I Agree

Terms & Conditions

Any cable found to be an authentic AudioQuest cable will be returned to you at no cost.

Any cable found (or determined) by AudioQuest to be counterfeit will be destroyed at the authentication center.  You will not be compensated in any way for a destroyed counterfeit cable.

By clicking the “I agree” checkbox above, you agree and understand that if your cable is found to be counterfeit, AudioQuest will destroy the cable. Under no circumstances will a cable that is deemed counterfeit be returned.  You will not be compensated in any way for a destroyed counterfeit cable.