Installation Record Form
A warranty claim will only be accepted if accompanied by the following:
1. A completed copy of this form
2. Proof of purchase
3. Proof of installation by a licenced electrical contractor.
Please retain all invoices and, if provided, electrical certificate as proof that a qualified installer
has performed this installation. The installer can assist you in competing this form.
Customer Details
Name:
Address:
Telephone:
Mobile Phone:
Email:
Product Purchase Details
Date of Purchase:
Model No(as shown on product)
Electricians Details
Company/Business Name and Address
Telephone Electrician’s Name
Registered Electrical Contractor No:
7
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