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Warranty / Return Authorisation form
Please indicate purpose of request
Warranty
□
Credit / Refund
(please tick)
□
Full Name
………………………………………………………………………….
Company Name
………………………………………………………………………….
Address
………………………………………………………………………….
State
………………………………………………………………………….
Postcode
………………………………………………………………………….
Phone
………………………………………………………………………….
Mobile
………………………………………………………………………….
Email address
………………………………………………………………………….
Product Information
Date of Purchase
………………………………………………
Customer Number
………………………………………………
Invoice Number
………………………………………………
RA Number
………………………………………………
(required as delivery may not be accepted)
Qty
Item Description
Model
Serial Number
MAC
ZaapTV
MaaxTV
AraabTV
IPTVone
Other Android device