Warranty

Warranty Claim Form

Fields with an * must be completed.

Warranty Claim Form

Warranty Claim Number

Company Name

Street Address

Street Address Line 2

City

County

Post Code

Name

Job Title

Select Your Warranty Cover

Email

Phone

Input Your F-Gas Refcom Elite Registration Number

Site Address

Site Address Line 2

City

County

Post Code

Model Number

Serial Number

Date Of Purchase

Original Order / Invoice Number

Failure Date

Fault Description

Repair Actions

Repair Date

Order / Invoice Number For Parts Used

Part Number 1

Part Number 1 Description

Part Number 2

Part Number 2 Description

Part Number 3

Part Number 3 Description

Part Number 4

Part Number 4 Description

Thanks for Submitting!

Address

Cool Solutions Distribution Ltd

Units 9 & 10 Station Way

Leeds, West Yorkshire

LS12 3HQ

Phone

0113 2799520

Email

sales@csd-ltd.net

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