Date Sent by client: Date Credited/Repaired:
/
Service Order #
/ 20 /
/ 20
Date Received at DLC:
/
/ 20
Date Shipped by DLC:
/
/ 20
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.