Everdure LANCER - Purchase Information Record

FOR FUTURE REFERENCE PLEASE DOCUMENT THE
FOLLOWING DETAILS AS SOON AS
POSSIBLE AFTER PURCHASE
PURCHASED FROM:.....................................................................................................
NAME: .............................................................................................................................
ADDRESS: .........................................................................................................................
DATE OF PURCHASE: .........................................................................
SERIAL NUMBER: """"""""""""""""""""""""""'""""""""""""""""""""""""""""
MODEL: """""""""""""""""""""""""""""..................................................................
GAS TYPE: ,........................................................
SHRIRO AUSTRALIA PTY. LIMITED
EVERDURE DIVISION
101 SHEFFIELD ROAD, WELSHPOOL, WESTERN AUSTRALIA
TELEPHONE: 1300 766 066
OFFICE HOURS BETWEEN 8am - 4:30pm WST (Perth)
Page 10