Esco ASCENT OPTI BASIC - Defect Reporting Form

21 Changi South Street 1 Singapore 486777 Phone: +65 65420833 Fax: +65 65426920
E-mail: ductless@escoglobal.com Website: www.escoglobal.com/ductless
APPENDIX
DEFECT REPORTING FORM
To submit your warranty claim or to obtain a Return Authorization (RA) number, please complete this defect
reporting form and return it to Esco by fax or postal mail.
PRODUCT INFORMATION
Model Number : _____________________________________________________________________________
Serial Number : _____________________________________________________________________________
Date of Purchase : _____________________________________________________________________________
CUSTOMER INFORMATION
Company : _____________________________________________________________________________
Address : _____________________________________________________________________________
: _____________________________________________________________________________
Telephone : _____________________________________________________________________________
Fax : _____________________________________________________________________________
Email : _____________________________________________________________________________
NAME OF ESCO DISTRIBUTOR
Contact : _____________________________________________________________________________
Company : _____________________________________________________________________________
Country : _____________________________________________________________________________
BRIEF DESCRIPTION OF ERROR
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
WHEN DID THE ERROR OCCUR*
Transport Damage / Unpacking / Assembly / Routine Operation
RETURNING PRODUCTS/PARTS*
Under Warranty / For Service or Repair / For Replacement / Credit Note Requested
Name/Date: ________________________ Signature: _________________________
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