Vic credit request form interactive

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Date Sent by client: Date Credited/Repaired:

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Service Order #

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Date Received at DLC:

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Date Shipped by DLC:

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DLC Australia Pty Ltd Phone. (03) 9360 9700 Fax. (03) 9360 9994 Email. info@dlc.com.au

REQUEST FOR CREDIT

Dear Customer, please ensure that you fill out all of your details to ensure timely processing of your request. Proof of purchase must be provided for warranty/credit claims. Failure to provide proof of purchase will result in charges for the service provided.

To avoid a cleaning fee of $100, ALL Equipment should be cleaned and free of biological matter. Company Name. Contact Name. Phone.

Fax.

Email. Address. Address.

PLEASE NOTE: YOU MUST CONTACT DLC PRIOR TO RETURNING GOODS. Product Description. Serial Number. Purchase Date & Invoice # DLC Contact Name.

Fault or Reason for Return. Accessories Included.

PLEASE NOTE: IF FORM IS NOT RECEIVED WITH GOODS, YOUR REQUEST CANNOT BE PROCESSED.

PLEASE SEND GOODS TO:

DLC Australia Pty Ltd 17-19 Horne St, Hoppers Crossing, VIC, 3029 www.dlc.com.au

Request for Credit (Jan 2016)

Extra Notes.


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