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Warranty Claim
Warranty Claim Form
All areas marked (*) must be filled out for this warranty claim to be considered valid.
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Contact Details
Warranty Unique ID
Name (Required)
*
Prénom
Nom
Location (Required)
*
N. America
Europe, Middle East and Africa
Japan
China
Email (Required)
*
Distributor Company Name (Required)
*
Carlisle Fluid Technologies Account Number (if known)
Item Details
Part Number (Required)
*
Quantity (Required)
*
Part Description (Required)
*
Assembly Part Number (if different)
Serial Numbers (if serialized)
Purchase Details
Carlisle Fluid Technologies Order Number (Required)
*
Proof of Purchase (Receipt or Invoice) (Required)
*
Types de fichiers acceptés : jpg, gif, png, pdf.
Accepted File Types: jpg, gif, png, pdf | 2MB
Date item Received at End User (Required)
*
Format de date :MM slash JJ slash AAAA
Days of use before failure (approx.) (Required)
*
Describe the Problem
Image/video of fault (attachment)
Description of the Problem (Required)
*
In detail what is the item doing or not doing that is an issue
When was the problem noted and how was the item being used at the time?
How did you isolate the fault to this item?
Additional supporting information
Including frequency and severity of intermittent faults
Prefered Resolution (Required)
*
Credit
Repair
Replacement
*Final determination at Carlisle Fluid Technologies discretion.
Name
Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.
Data Location
Where to Buy
Name
*
Prénom
Nom
Email
*
Company
*
Country
City
Phone
Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.
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