WARRANTY CLAIM FORM
Coast RV Pty Ltd trading as Coast to Coast RV Services
ABN 49 097 104 492 - ACN 101 461 330
Warranty Providers Address:
PO Box 415 Regents Park NSW 2143 Australia OR;
PO Box 58-054 Botany AUCKLAND 2163 New Zealand
Description of Goods provided:
Receipt enclosed: (tick box)
Description of defects (Give as
much detail as possible. Use a
separate page if required):
Date of purchase/services
provided:
I hereby declare that the information provided above is true and correct and to the best of my knowledge and belief and I
have complied with all the conditions of the warranty.
Signed: .....................................................................
Name: .......................................................................
(please print)
Dated:.......................................................................
[Please note, the issue or completion of this form by the Client does not constitute an admission of liability by the Supplier]
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