1. Delivery Details

(We can deliver directly to your home address):

Email Address:

Name:

Complete Delivery Address:

Contact Number:

2. Proof of Purchase:

Sales/Order Invoice Number of Receipt Details:

Retailer where product was purchased

Upload Attachment:

3. Model Details:

Model:

Colour:

4. What Parts are missing?

Refer to you instruction manual and enter the quantity and part number below.

Qty

Part No.

Component Description (optional)

See example:

5. Production Information:

1. Date & Time Stamp:

2. Product Code and Colour:

3. Product Size and Range:

4. Number of Packs

6. Channel Information Detail

(IF THE MISSING PART IS A CHANNEL):

Please provide details from any of the available channels you have received.

1. Part No.:

2. Date and Time Stamp:

3. Made by Initials:

What to Look For, see sample:

7. Sheet Information Details

(IF MISSING PART IS A SHEET):
Please provide details the details on the available sheets you have received. This will help us improve our QA process
1. Part No.:

2. Date and Time Stamp:

3. Made by Initials: