Name: *

Contact Number: *

Customer Name: *

E-mail Address: *

PO Number(s): *

Invoice Number(s): *

Product Number(s): *

Serial Number, if applicable:

Please answer the below questions about the faulty item(s):

Please can you provide a description of the fault ? *

How many are affected? *

How long have they been used for? *

Can you describe the conditions/environment in which the product(s) have been used? *

How have they been cleaned? *

How and where have they been stored? *

* If there are multiple image files to upload, please zip the files to send them together in one folder. For help, click here

Please provide appropriate pictures to illustrate the fault *

Faulty Return